NPIMap

Organization Active NPI

S.a.G.E Project

  • Community/Behavioral Health Agency
  • Sebastopol, CA
National Provider Identifier
1235334236
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1041C0700X Issued in CA
Legal business name
S.A.G.E PROJECT
Practice address
1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607
Phone
(513) 535-7702
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Nancy Heilner, LCSW
Title
Clinical Director
Phone
(415) 321-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1041C0700X CA Primary

Addresses

Primary practice location

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607

Mailing address

1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607
Phone (513) 535-7702

National Provider Directory

National Provider Directory
Tax ID family
Sage Project6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1235334236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GRAVENSTEIN HWY N",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722607",
            "telephone_number": "513-535-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GRAVENSTEIN HWY N",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722607",
            "telephone_number": "513-535-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A.G.E PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "HEILNER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "415-321-3159",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.