NPIMap

Organization Active NPI

Sage Project, Inc

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1447339403
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAGE PROJECT, INC
Practice address
68 12TH St
San Francisco, CA 94103-1297
Phone
(415) 905-5050
Fax
(415) 554-1914
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Mr. Allen Wilson
Title
Grants & Contracts Manager
Phone
(415) 551-0493

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

68 12TH St
San Francisco, CA 94103-1297

Mailing address

68 12TH St
San Francisco, CA 94103-1297
Phone (415) 905-5050

National Provider Directory

National Provider Directory
Tax ID family
Sage Project6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

68 12th St
San Francisco, CA 94103
Phone (415) 358-2713

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1447339403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 12TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031297",
            "telephone_number": "415-905-5050",
            "fax_number": "415-554-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 12TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031297",
            "telephone_number": "415-905-5050",
            "fax_number": "415-554-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PROJECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "GRANTS & CONTRACTS MANAGER",
        "authorized_official_telephone_number": "415-551-0493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.