SAGE PSYTHOTHERAPY, (NPI# 1629513247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629513247 |
| Entity Type | Organization |
| Organization Name | SAGE PSYTHOTHERAPY, |
| Practice Address |
2627 J St Second Floor Sacramento CA 95816-4371 |
| Mailing Address |
352 Rio Del Oro Ln Sacramento CA 95825-6326 |
| Practice Telephone | 9166149200 |
| Mailing Telephone | 9166149200 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | ROBIN KIRK (CEO) |
| Authorized Official Telephone | 9166149200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MFT37167 | CA | Ambulatory Health Care Facilities |
| Street Address |
2627 J ST SECOND FLOOR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1184080681 | Sacramento Child and Adolescent Wellness Center Corp | Clinic/Center | 2001 N St, Suite 100, Sacramento, CA 95811-4237 | 2016-01-13 |
| 1912100058 | Ywca of Contra Costa County & Sacramento | Clinic/Center | 1122 17th St, Sacramento, CA 95814-4014 | 2007-06-07 |
| 1457990871 | County of Sacramento | Clinic/Center | 3331 Power Inn Rd Ste 180, Sacramento, CA 95826-3889 | 2020-01-02 |
| 1447898119 | Telecare Corporation | Clinic/Center | 1103 N B St Ste E, Sacramento, CA 95811-0326 | 2019-12-12 |
| 1356846075 | Ashby & Associates Software, Inc. | Clinic/Center | 1731 I St Ste 103, Sacramento, CA 95811-3001 | 2018-03-26 |
| 1386973972 | Telecare Corporation | Clinic/Center | 900 Fulton Ave, Suite 205, Sacramento, CA 95825-4500 | 2009-12-10 |
| 1548385560 | Lds Family Services | Clinic/Center | 3000 Auburn Blvd, Suite A, Sacramento, CA 95821-1831 | 2007-03-20 |
| 1073647020 | Chw Medical Foundation | Clinic/Center | 1792 Tribute Rd, Suite 350, Sacramento, CA 95815-4305 | 2007-03-14 |
| 1447332036 | Wellspace Health | Clinic/Center | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2006-10-20 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on SAGE PSYTHOTHERAPY,.
| 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.