Active NPI
Crispin M Sablan
- Addiction (Substance Use Disorder) Counselor
- Chalan Kanoa, MP
National Provider Identifier
1518228196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10-0045
- Practice address
- Marianas Business Plaza
Ste 306-10
Chalan Kanoa, MP 96950 - Phone
- (670) 287-1267
- NPI assigned
- May 31, 2012
- Last updated
- May 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10-0045 | GU | Primary |
Addresses
Primary practice location
Marianas Business Plaza
Ste 306-10
Chalan Kanoa, MP 96950
Mailing address
PO Box 502708
Marianas Business Plaza
Chalan Kanoa, MP 96950
Phone (670) 287-1267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10-0045 | GU | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1518228196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 502708",
"address_2": "MARIANAS BUSINESS PLAZA",
"city": "CHALAN KANOA",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-287-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARIANAS BUSINESS PLAZA",
"address_2": "STE 306-10",
"city": "CHALAN KANOA",
"state": "MP",
"postal_code": "96950",
"telephone_number": "670-287-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABLAN",
"first_name": "CRISPIN",
"middle_name": "M",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GU",
"license": "10-0045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.