Provider Demographics
NPI:1346615614
Name:SABATER LABORATORY FOR PSYCHOLOGICAL INNOVATIONS INC
Entity Type:Organization
Organization Name:SABATER LABORATORY FOR PSYCHOLOGICAL INNOVATIONS INC
Other - Org Name:SABATERLAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LICENSEDCLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:E
Authorized Official - Last Name:SABATER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-327-2442
Mailing Address - Street 1:255 MAIN ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4064
Mailing Address - Country:US
Mailing Address - Phone:401-327-2442
Mailing Address - Fax:
Practice Address - Street 1:255 MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4064
Practice Address - Country:US
Practice Address - Phone:401-327-2442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-11
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS01465103TC1900X, 103TC2200X, 103TF0000X
251S00000X, 261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty