Provider Demographics
NPI:1043430549
Name:SABATER, JULIO E (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:E
Last Name:SABATER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41208
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02940-1208
Mailing Address - Country:US
Mailing Address - Phone:401-327-2442
Mailing Address - Fax:
Practice Address - Street 1:255 MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4026
Practice Address - Country:US
Practice Address - Phone:401-327-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01465103TC0700X
103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1043430549OtherUBH
RI1346615614OtherSABATERLAB NPI
RI1043430549Medicaid