Organization Active NPI

Sage Psychological Consulting

  • Pediatric Neurodevelopmental Disabilities Physician
  • Brookhaven, GA
National Provider Identifier
1235866120
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
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

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Dr. Triphinia Margaret Wallace, PHDNPI 1902938558
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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003222721AMedicaidGA

Other names 1

  • SAGE PSYCHOLOGICAL CONSULTING Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.