Provider Demographics
NPI:1790031755
Name:THE AMERICAN ACADEMY OF PRIMARY CARE PSYCHOLOGISTS
Entity Type:Organization
Organization Name:THE AMERICAN ACADEMY OF PRIMARY CARE PSYCHOLOGISTS
Other - Org Name:BIOMETRIC HEALTH MONITORING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:FRANCESCO
Authorized Official - Last Name:SAMBATARO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:866-802-1098
Mailing Address - Street 1:25985 BARBER CUT OFF RD NE STE B1
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98346-9596
Mailing Address - Country:US
Mailing Address - Phone:360-881-0017
Mailing Address - Fax:360-591-7900
Practice Address - Street 1:19689 7TH AVE NE STE 183-114
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8091
Practice Address - Country:US
Practice Address - Phone:360-881-0017
Practice Address - Fax:360-591-7900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIHS.FS.60302522251C00000X
WAIHS-FS.60302522251E00000X, 251S00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies