Healthcare Provider Details

I. General information

NPI: 1952107807
Provider Name (Legal Business Name): SAMANTHA SABATINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 BOSTON ST
SALEM MA
01970-1402
US

IV. Provider business mailing address

14 FORDHAM RD
ALLSTON MA
02134-3000
US

V. Phone/Fax

Practice location:
  • Phone: 781-439-3943
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: