1790031755 NPI number — THE AMERICAN ACADEMY OF PRIMARY CARE PSYCHOLOGISTS

Table of content: (NPI 1790031755)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790031755 NPI number — THE AMERICAN ACADEMY OF PRIMARY CARE PSYCHOLOGISTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE AMERICAN ACADEMY OF PRIMARY CARE PSYCHOLOGISTS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790031755
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25985 BARBER CUT OFF RD NE STE B1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGSTON
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98346-9596
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-881-0017
Provider Business Mailing Address Fax Number:
360-591-7900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8325 SANDS POINT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77036-2766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-881-0017
Provider Business Practice Location Address Fax Number:
360-591-7900
Provider Enumeration Date:
07/27/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SAMBATARO
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
FRANCESCO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
409-999-5956

Provider Taxonomy Codes

  • Taxonomy code: 101YP1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 174H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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