S.a.G.E. Holistic Individual, Marriage & Family Therapy Professional C

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

S.A.G.E. HOLISTIC INDIVIDUAL, MARRIAGE & FAMILY THERAPY PROFESSIONAL C

Practice address

2050 N Tustin Ave
Santa Ana, CA 92705-7827

Phone

(714) 391-3853

Fax

(888) 338-1074

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Emily Celis, MS, LMFTNPI 1043760671

Title

Ceo

Phone

(714) 391-3853

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, and the practitioner matching its NPPES authorized official.

• Emily Celis, M.S., LMFT

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1043760671
  NPD Authorized official

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1346079266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057827",
            "telephone_number": "714-391-3853",
            "fax_number": "888-338-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057827",
            "telephone_number": "714-391-3853",
            "fax_number": "888-338-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A.G.E. HOLISTIC INDIVIDUAL, MARRIAGE & FAMILY THERAPY PROFESSIONAL C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "CELIS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-391-3853",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.