Organization Active NPI

Sabaterlab Foundation

  • Community/Behavioral Health Agency
  • Pawtucket, RI
National Provider Identifier
1619546124
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SABATERLAB FOUNDATION
Practice address
255 Main St Ste 206
Pawtucket, RI 02860-4026
Phone
(401) 327-2442
NPI assigned
Jun 19, 2021
Organization subpart
Yes
Parent organization
SABATER LABORATORY FOR PSYCHOLOGICAL INNOVATIONS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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

Authorized official

Name
Ivelisse SabaterNPI 1568283828
Title
President/Co-Founder
Phone
(401) 327-2442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Community Health Clinic/Center 261QC1500X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

255 Main St Ste 206
Pawtucket, RI 02860-4026

Mailing address

PO Box 41208
Providence, RI 02940-1208
Phone (401) 327-2442

Other practice location 1

243 Main St Ste 3
Pawtucket, RI 02860-4047
Phone (401) 327-2442

National Provider Directory

National Provider Directory
Part of
Sabater Laboratory for Psychological Innovations Inc

Locations

243 Main St
Ste 3
Pawtucket, RI 02860
Phone (401) 327-2442

255 Main St
Ste 206
Pawtucket, RI 02860
Phone (401) 327-2442

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624060800000",
    "number": "1619546124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41208",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029401208",
            "telephone_number": "401-327-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MAIN ST STE 206",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604026",
            "telephone_number": "401-327-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604047",
            "country_code": "US",
            "telephone_number": "401-327-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SABATERLAB FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SABATER LABORATORY FOR PSYCHOLOGICAL INNOVATIONS INC",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "SABATER",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_title_or_position": "PRESIDENT/CO-FOUNDER",
        "authorized_official_telephone_number": "401-327-2442"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.