Active NPI
Sage Behavior Services
- Community/Behavioral Health Agency
- Fullerton, CA
National Provider Identifier
1326480542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SAGE BEHAVIOR SERVICES
- Practice address
- 1435 N Harbor Blvd
124
Fullerton, CA 92835-4105 - Phone
- (714) 425-2442
- NPI assigned
- Jul 30, 2013
- 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
- Mr. Steven Chon Schleicher, M. ED
- Title
- Senior Program Supervisor
- Phone
- (714) 425-2442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1435 N Harbor Blvd
124
Fullerton, CA 92835-4105
Mailing address
825 Tamarack Ave
104
Brea, CA 92821-2550
Phone (714) 425-2442
National Provider Directory
National Provider Directory- Tax ID family
- Sage Behavior Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Analyst
- Fullerton, CA
- NPI 1598998460
Locations
1435 N Harbor Blvd
#124
Fullerton, CA 92835
Phone (714) 773-0077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375142400000",
"number": "1326480542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 TAMARACK AVE",
"address_2": "104",
"city": "BREA",
"state": "CA",
"postal_code": "928212550",
"telephone_number": "714-425-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 N HARBOR BLVD",
"address_2": "124",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354105",
"telephone_number": "714-425-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE BEHAVIOR SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-30",
"last_updated": "2013-07-30",
"status": "A",
"authorized_official_last_name": "SCHLEICHER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "CHON",
"authorized_official_title_or_position": "SENIOR PROGRAM SUPERVISOR",
"authorized_official_telephone_number": "714-425-2442",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M. ED"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.