SAGE PSYCHOLOGICAL SERVICES, PC (NPI# 1558719492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558719492 |
| Entity Type | Organization |
| Organization Name | SAGE PSYCHOLOGICAL SERVICES, PC |
| Practice Address |
2835 Camino Del Rio S Suite 120 San Diego CA 92108-3825 |
| Practice Telephone | 8582287701 |
| Mailing Telephone | 8582287701 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | DR. SAGE SCHUITEVOERDER (OWNER) |
| Authorized Official Telephone | 8582287701 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
25395 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2835 CAMINO DEL RIO S SUITE 120 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236445 | Mark Allen Kaupp | Marriage & Family Therapist | 2835 Camino Del Rio S, Suite 120-c, San Diego, CA 92108-3825 | 2005-09-23 |
| 1487052700 | Lori Jeanne Underwood | Marriage & Family Therapist | 2835 Camino Del Rio S, Suite 120, San Diego, CA 92108-3825 | 2014-12-18 |
| 1871934752 | Craig Hasselbring | Massage Therapist | 2835 Camino Del Rio S, Suite 120a, San Diego, CA 92108-3825 | 2013-07-08 |
| 1598013328 | Devon Jane Dubois | Marriage & Family Therapist | 2835 Camino Del Rio S, Suite 120, San Diego, CA 92108-3825 | 2012-08-28 |
| 1457637068 | Donna Marie Chapman | Marriage & Family Therapist | 2835 Camino Del Rio S, Ste 120, San Diego, CA 92108-3825 | 2011-10-26 |
| 1619204831 | Jennine Elise Estes | Marriage & Family Therapist | 2835 Camino Del Rio S, #120c, San Diego, CA 92108 | 2009-11-09 |
| 1609038199 | Erin Christine Falvey | Marriage & Family Therapist | 2835 Camino Del Rio S, 120-c, San Diego, CA 92108-3825 | 2008-06-26 |
| 1023214632 | Bonnie Wassenaar Alexander | Acupuncturist | 2835 Camino Del Rio S, 120-a, San Diego, CA 92108-3825 | 2007-06-22 |
| 1245434471 | Ellen L Griffin | Marriage & Family Therapist | 2835 Camino Del Rio S, #120a, San Diego, CA 92108-3825 | 2007-06-12 |
| 1194856948 | David Boyce Mcwhirter | Social Worker | 2835 Camino Del Rio S, Suite 120 C, San Diego, CA 92108-3825 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.