Jonathan Sabin, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15791132 Issued in WI

Practice address

9532 E 16 Frontage Rd
Suite 100
Onalaska, WI 54650-6739

Phone

(608) 783-0506

Fax

(608) 783-0242

NPI assigned

May 28, 2014

Last updated

Jun 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1578975447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9532 E 16 FRONTAGE RD",
            "address_2": "SUITE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506739",
            "telephone_number": "608-783-0506",
            "fax_number": "608-783-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9532 E 16 FRONTAGE RD",
            "address_2": "SUITE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506739",
            "telephone_number": "608-783-0506",
            "fax_number": "608-783-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIN",
        "first_name": "JONATHAN",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15791132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15791132",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew R Runde, MD
• Robert D Ruprecht
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• Edward G Rydell, DO
• Vijay K Sabnis, M.D.
• Sam's Club Optical (Sam's Club Optical 30-6436)
• Tyler Brett Sawall, RPH
• David R Sawicki, DC
• Rebecca A Scarseth, D.O.

• Addiction (Substance Use Disorder) Counselor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.