Active NPI
Carmella R Sabutis, CBT
- Behavior Technician
- Puyallup, WA
National Provider Identifier
1851948749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB60982174
- Practice address
- 3003 Alderbrook CT S
Puyallup, WA 98374-1626 - Phone
- (406) 249-6412
- Fax
- (855) 249-2776
- NPI assigned
- Aug 24, 2019
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CB60982174 | WA | Primary |
Addresses
Primary practice location
3003 Alderbrook CT S
Puyallup, WA 98374-1626
Mailing address
3003 Alderbrook CT S
Puyallup, WA 98374-1626
Phone (406) 249-6412
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | malloryqjanzen@in-dependent.info | Direct |
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 |
|---|---|---|---|
| CB60982174 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mallory Q. Stinger | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566604800000",
"number": "1851948749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 ALDERBROOK CT S",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983741626",
"telephone_number": "406-249-6412",
"fax_number": "855-249-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 ALDERBROOK CT S",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983741626",
"telephone_number": "406-249-6412",
"fax_number": "855-249-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABUTIS",
"first_name": "CARMELLA",
"middle_name": "R",
"credential": "CBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-24",
"last_updated": "2019-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB60982174",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "malloryqjanzen@in-dependent.info",
"affiliation": "N",
"endpointDescription": "Secure email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3003 Alderbrook Ct S",
"city": "Puyallup",
"state": "WA",
"country_code": "US",
"postal_code": "983741626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.