Bevlyn Sagon PHD LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY7653 Issued in FL

Legal business name

BEVLYN SAGON PHD LLC

Doing business as

Sagon and Associates Psychological Services

Practice address

1700 N. Dixie Hwy
Suite 150
Boca Raton, FL 33432

Phone

(561) 447-1167

Fax

(561) 447-1164

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Bevlyn Sagon, PHDNPI 1003068925

Title

Ceo

Phone

(561) 447-1167

Specialties & licenses 1

Addresses

Other names 1

• Sagon and Associates Psychological Services Doing business as

Locations

Practitioners 1

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

• Bevlyn Sagon, PHD

  • Psychologist
  • Boca Raton, FL
  • NPI 1003068925
  NPD (past) Authorized official

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1528211414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY",
            "address_2": "SUITE 150",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-447-1167",
            "fax_number": "561-447-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N. DIXIE HWY",
            "address_2": "SUITE 150",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-447-1167",
            "fax_number": "561-447-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVLYN SAGON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "SAGON",
        "authorized_official_first_name": "BEVLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-447-1167",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY7653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sagon and Associates Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Boca Raton, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.