Organization Active NPI

Sababa Health Group-Outcomes and Analytics

Doing business as Sababa Health Group

  • Mental Health Counselor
  • Greenwood Village, CO
National Provider Identifier
1700355591
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SABABA HEALTH GROUP-OUTCOMES AND ANALYTICS
Doing business as
Sababa Health Group
Practice address
5910 S University Blvd
C18 #318
Greenwood Village, CO 80121-2883
Phone
(720) 532-8008
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Dr. Scott J Primack, DO
Title
Chief Medical Director
Phone
(720) 255-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5910 S University Blvd
C18 #318
Greenwood Village, CO 80121-2883

Mailing address

5910 S University Blvd
C18 #318
Greenwood Village, CO 80121-2883
Phone (720) 532-8008

Other identifiers 1

IdentifierTypeStateIssuer
1386609428OtherDR. SCOTT PRIMACK

Other names 1

  • Sababa Health Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1700355591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 S UNIVERSITY BLVD",
            "address_2": "C18 #318",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212883",
            "telephone_number": "720-532-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 S UNIVERSITY BLVD",
            "address_2": "C18 #318",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212883",
            "telephone_number": "720-532-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABABA HEALTH GROUP-OUTCOMES AND ANALYTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "PRIMACK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "720-255-5105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SCOTT PRIMACK",
            "identifier": "1386609428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sababa Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.