Active NPI
Sage Psychological Consulting
- Pediatric Neurodevelopmental Disabilities Physician
- Brookhaven, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Neurodevelopmental Disabilities Physician
- Legal business name
- SAGE PSYCHOLOGICAL CONSULTING
- Practice address
- 4062 Peachtree Rd NE Ste 190a
Brookhaven, GA 30319-3021 - Phone
- (404) 317-2283
- NPI assigned
- Aug 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Triphinia Margaret Wallace, PHD
- Title
- Psychologist
- Phone
- (404) 317-2283
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | Primary |
Addresses
Primary practice location
4062 Peachtree Rd NE Ste 190a
Brookhaven, GA 30319-3021
Mailing address
4062 Peachtree Rd NE # 190a
Brookhaven, GA 30319-3021
Phone (404) 317-2283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003222721A | Medicaid | GA |
Other names 1
- SAGE PSYCHOLOGICAL CONSULTING
National Provider Directory
National Provider DirectoryLocations
4062 Peachtree Rd NE
#190A
Brookhaven, GA 30319
Phone (404) 317-2283
4062 Peachtree Rd NE
Ste 190A
Brookhaven, GA 30319
Phone (404) 317-2283
526 Forest Pkwy
Ste C
Forest Park, GA 30297
Phone (404) 441-4212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Brookhaven, GA
- NPI 1902938558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1235866120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4062 PEACHTREE RD NE # 190A",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193021",
"telephone_number": "404-317-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4062 PEACHTREE RD NE STE 190A",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193021",
"telephone_number": "404-317-2283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE PSYCHOLOGICAL CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-02",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "TRIPHINIA",
"authorized_official_middle_name": "MARGARET",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "404-317-2283",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003222721A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAGE PSYCHOLOGICAL CONSULTING",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.