Active NPI
Sage Elyse Hawn, PHD
- Clinical Psychologist
- Sandy Springs, GA
National Provider Identifier
1295435204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810008048
- Practice address
- 5887 Glenridge Dr
Sandy Springs, GA 30328-5574 - Phone
- (703) 229-3885
- NPI assigned
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810008048 | VA | Primary |
Addresses
Primary practice location
5887 Glenridge Dr
Sandy Springs, GA 30328-5574
Mailing address
5887 Glenridge Dr
Sandy Springs, GA 30328-5574
Phone (703) 229-3885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810008048 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1295435204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5887 GLENRIDGE DR",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303285574",
"telephone_number": "703-229-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5887 GLENRIDGE DR",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303285574",
"telephone_number": "703-229-3885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWN",
"first_name": "SAGE",
"middle_name": "ELYSE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810008048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.