Active NPI
Susan Sabol, PSY.D.
- Psychologist
- Wakefield, RI
National Provider Identifier
1700848579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS00918
- Practice address
- 24 Salt Pond Rd
Suite B-4
Wakefield, RI 02879-4314 - Phone
- (401) 783-1310
- Fax
- (401) 783-7596
- NPI assigned
- Apr 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS00918 | RI | Primary |
Addresses
Primary practice location
24 Salt Pond Rd
Suite B-4
Wakefield, RI 02879-4314
Mailing address
210 Sylvan CT
Saunderstown, RI 02874-1982
Phone (401) 667-7437
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 |
|---|---|---|---|
| PS00918 | RI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700848579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SYLVAN CT",
"city": "SAUNDERSTOWN",
"state": "RI",
"postal_code": "028741982",
"telephone_number": "401-667-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SALT POND RD",
"address_2": "SUITE B-4",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794314",
"telephone_number": "401-783-1310",
"fax_number": "401-783-7596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOL",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS00918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.