Sage Inc

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

Organization subpart

No

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

Authorized official

Name

Dr. Michele Adrienne Packard, PHD

Title

Ceo

Phone

(303) 443-3920

Specialties & licenses 1

Addresses

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": []
}

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• Community/Behavioral Health Agency in Boulder, CO
• Providers in Boulder, CO by specialty
• Community/Behavioral Health Agency in Colorado

• 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.