Individual provider Active NPI

Julie C. Sage, PHD

  • Clinical Psychologist
  • Kansas City, MO
National Provider Identifier
1457625519
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2012007968 Issued in MO
Practice address
2301 Charlotte St
Kansas City, MO 64108-2774
Phone
(816) 404-3855
Fax
(816) 404-3865
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2012007968 MO Primary

Addresses

Primary practice location

2301 Charlotte St
Kansas City, MO 64108-2774

Mailing address

1801 NW Platte Rd
Suite 229
Riverside, MO 64150-7509
Phone (816) 813-1017

Other practice location 1

1801 NW Platte Rd
Suite 229
Riverside, MO 64150-7509
Phone (816) 813-1017

Other identifiers 1

IdentifierTypeStateIssuer
499540409MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140819002463 MO Practitioner - Clinical Psychologist 2668690454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 W 19TH Ter
Kansas City, MO 64108-2026
Phone (816) 404-5709

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2012007968MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Aug 5, 2014 Accepting new patients
Truman Medical Center Incorporated CurrentSince Aug 5, 2014 Accepting new patients

Locations

2301 Charlotte St
Kansas City, MO 64108
Phone (816) 404-3855

300 W 19th Ter
Kansas City, MO 64108
Phone (816) 404-5709

Interoperability endpoints

  • Direct secure messaging: julie.sage@direct.tmcmed.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1457625519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW PLATTE RD",
            "address_2": "SUITE 229",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641507509",
            "telephone_number": "816-813-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CHARLOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082774",
            "telephone_number": "816-404-3855",
            "fax_number": "816-404-3865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 NW Platte Rd",
            "address_2": "Suite 229",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "MO",
            "postal_code": "641507509",
            "country_code": "US",
            "telephone_number": "816-813-1017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGE",
        "first_name": "JULIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2012007968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499540409",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.