Active NPI
Sage Integrative Health a Psychological Corporatio
Doing business as Sage Integrative Health
- Psychiatric/Mental Health Registered Nurse
- Berkeley, CA
National Provider Identifier
1336771070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- Legal business name
- SAGE INTEGRATIVE HEALTH A PSYCHOLOGICAL CORPORATIO
- Doing business as
- Sage Integrative Health
- Practice address
- 2185 Ashby Ave
Berkeley, CA 94705-1835 - Phone
- (510) 564-7099
- NPI assigned
- Feb 11, 2020
- Last updated
- Feb 11, 2020
- 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
- Julie Megler, NURSE PRACTITIONER
- Title
- Executive Director
- Phone
- (786) 202-7532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | NU | Primary |
Addresses
Primary practice location
2185 Ashby Ave
Berkeley, CA 94705-1835
Mailing address
2185 Ashby Ave
Berkeley, CA 94705-1835
Phone (510) 564-7099
Other names 1
- Sage Integrative Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Charm | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2185 Ashby Ave
Berkeley, CA 94705
Phone (510) 545-2642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581379200000",
"number": "1336771070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051835",
"telephone_number": "510-564-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 ASHBY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051835",
"telephone_number": "510-564-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE INTEGRATIVE HEALTH A PSYCHOLOGICAL CORPORATIO",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A",
"authorized_official_last_name": "MEGLER",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "786-202-7532",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Charm",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2185 Ashby Ave",
"city": "Berkeley",
"state": "CA",
"country_code": "US",
"postal_code": "947051835",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Sage Integrative Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.