Sageforth Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SAGEFORTH PSYCHOLOGICAL SERVICES, LLC

Practice address

552 Fort Evans Rd Ste 206
Leesburg, VA 20176-3378

Phone

(703) 777-7755

NPI assigned

Nov 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Mahnaz Vanlandingham, PSYDNPI 1184245508

Title

Clinical Director

Phone

(703) 777-7755

Specialties & licenses 4

Addresses

Other names 1

• SageForth Psychological Services Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Vanlandingham

  • Clinical Psychologist
  • Leesburg, VA
  • NPI 1184245508
  NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1114683372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD STE 206",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "703-777-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 FORT EVANS RD STE 206",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763378",
            "telephone_number": "703-777-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGEFORTH PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "VANLANDINGHAM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MAHNAZ",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "703-777-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SageForth Psychological Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SageForth Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.