Sagamar Behavioral Care Home, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SAGAMAR BEHAVIORAL CARE HOME, LLC

Practice address

4444 N 13TH PL Apt 3
Phoenix, AZ 85014-4584

Phone

(323) 899-1114

NPI assigned

May 5, 2020

Last updated

May 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Norman V Marin

Title

Program Director

Phone

(323) 899-1114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1235750977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 N 13TH PL APT 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144584",
            "telephone_number": "323-899-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N 13TH PL APT 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144584",
            "telephone_number": "323-899-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGAMAR BEHAVIORAL CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "323-899-1114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shazia Safi, RNC
• Wolf Safrin I, MD
• Karima Amal Safsaf, APRN
• Sag, LLC (Center for Pain control)
• Sag, LLC (Center for pain control)
• Aashish N Sagar, MD
• Smitha Sagaram, MBBS
• Sage Counseling, Inc.
• Sage Counseling, Inc.
• Sage Counseling, Inc.

• Psychiatric Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.