Active NPI
Sally Hage, PH.D.
- Counseling Psychologist
- Brooklyn, NY
National Provider Identifier
1184916751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 018544
- Practice address
- 397 Bridge St
Brooklyn, NY 11201-5292 - Phone
- (413) 798-4818
- NPI assigned
- May 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 11468 | MA | |
| Counseling Psychologist | 103TC1900X | 018544 | NY | Primary |
Addresses
Primary practice location
397 Bridge St
Brooklyn, NY 11201-5292
Mailing address
263 Alden St
Springfield, MA 01109-3707
Phone (413) 798-4818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018544 | Other | NY | LICENSED PSYCHOLOGIST, STATE OF NEW YORK |
| 11468 | Other | MA | LICENSED PSYCHOLOGIST, |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11468 | MA | MD | Counseling Psychologist |
| 018544 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1184916751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 ALDEN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093707",
"telephone_number": "413-798-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 BRIDGE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015292",
"telephone_number": "413-798-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGE",
"first_name": "SALLY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "11468",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "018544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST, STATE OF NEW YORK",
"identifier": "018544",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST,",
"identifier": "11468",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.