Sage Psychotherapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

40457 Issued in TX

Legal business name

SAGE PSYCHOTHERAPY, PLLC

Practice address

102 Fletcher Dr
Suite C
Del Rio, TX 78840-3060

Phone

(830) 703-9696

NPI assigned

Oct 5, 2008

Last updated

Oct 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna K. Byxbe, LCSW

Title

Owner

Phone

(830) 703-9696

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1223164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223164800000",
    "number": "1477704773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FLETCHER DR",
            "address_2": "SUITE C",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403060",
            "telephone_number": "830-703-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FLETCHER DR",
            "address_2": "SUITE C",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403060",
            "telephone_number": "830-703-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-05",
        "last_updated": "2008-10-05",
        "status": "A",
        "authorized_official_last_name": "BYXBE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-703-9696",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "40457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851412",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1962474577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Paul Rogers, CRNA
• RPK Unlimited, Inc (Kaiser Eye Care)
• Ruben E Mora (Del Rio Dentistry PC)
• Rebecca Elizabeth Ruthenbeck, PT
• John D Sagace II
• Mostafa M Salama, MD
• Selina Salas
• Ambar Salazar
• Hayley Gillen Salem, PT, DPT
• San Felipe del Rio Cisd

• Community/Behavioral Health Agency in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2008; 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.