Sage PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

25395 Issued in CA

Legal business name

SAGE PHD

Practice address

2801 Camino del Rio S
Suite 200
San Diego, CA 92108-3800

Phone

(858) 228-7701

Fax

(619) 269-9777

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sage Schuitevoerder, PHDNPI 1962562892

Title

Psychologist

Phone

(858) 228-7701

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sage Schuitevoerder, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1962562892
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1023427812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083800",
            "telephone_number": "858-228-7701",
            "fax_number": "619-269-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083800",
            "telephone_number": "858-228-7701",
            "fax_number": "619-269-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "SCHUITEVOERDER",
        "authorized_official_first_name": "SAGE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "858-228-7701",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "25395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Brooke Safran
• Kelly Safran, PHARMD
• Richard Edward Safrin, MD
• Hannah Grace Skadow Sagan, PT
• Gina Sagapolutele
• Sage Psychological Services, PC
• Sage Psychological Wellness, PC
• Danielle Nicole Sage
• Zackary James Sage
• Victoria Sager-Kemp, AMFT150069

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.