NPIMap

Organization Active NPI

Sage Inc

  • Community/Behavioral Health Agency
  • Boulder, CO
National Provider Identifier
1104974385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1350-00 Issued in CO
Legal business name
SAGE INC
Practice address
3856 Wonderland Hill Ave
Boulder, CO 80304-1036
Phone
(303) 443-3920
NPI assigned
Jan 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michele Adrienne Packard, PHDNPI 1932618782
Title
Ceo
Phone
(303) 443-3920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1350-00 CO Primary

Addresses

Primary practice location

3856 Wonderland Hill Ave
Boulder, CO 80304-1036

Mailing address

3856 Wonderland Hill Ave
Boulder, CO 80304-1036
Phone (303) 443-3920

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104974385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 WONDERLAND HILL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041036",
            "telephone_number": "303-443-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3856 WONDERLAND HILL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041036",
            "telephone_number": "303-443-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ADRIENNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-443-3920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1350-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.