Sage in Time Mental Health Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAGE IN TIME MENTAL HEALTH COUNSELING, PLLC

Practice address

3737 Theodolite Dr
Baldwinsville, NY 13027-9346

Phone

(315) 743-8050

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Derek J Wittman, LMHCNPI 1952746141

Title

Sole Member, Manager

Phone

(315) 743-8050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek J Wittman, LMHC-D (NY),LPC (PA)

  • Mental Health Counselor
  • Baldwinsville, NY
  • NPI 1952746141
  NPD Authorized official

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1245093780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 THEODOLITE DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279346",
            "telephone_number": "315-743-8050",
            "fax_number": "315-303-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 THEODOLITE DR",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279346",
            "telephone_number": "315-743-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE IN TIME MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "WITTMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER, MANAGER",
        "authorized_official_telephone_number": "315-743-8050",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Keenan Rodriguez, MA, LMFT
• Christopher Ross
• Kimberly Anne Ross, RN
• Donna J Rounds, LPN
• Sarah E Rutherford, RN
• Rosemary Salamone, RN
• Carol Salm
• Laua Marie Santorelli, LPN
• Rodolfo Jose Sapp, PTA
• Marie C Sardo, NP

• Mental Health Counselor in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.