Sagacity Global Psych and Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SAGACITY GLOBAL PSYCH AND ASSOCIATES

Practice address

2563 Woodlake Rd SW Apt 6
Wyoming, MI 49519-4718

Phone

(443) 527-7678

NPI assigned

Dec 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Casilda Maxwell, PHDNPI 1700268182

Title

President/Psychologist

Phone

(443) 527-7678

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Casilda Maxwell, PHD

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1700268182
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607126400000",
    "number": "1528664646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 WOODLAKE RD SW APT 6",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194718",
            "telephone_number": "443-527-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 WOODLAKE RD SW APT 6",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194718",
            "telephone_number": "443-527-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Monroe Ave NW Ste 301",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495031450",
            "country_code": "US",
            "telephone_number": "443-527-7678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGACITY GLOBAL PSYCH AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "CASILDA",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "443-527-7678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "president@sagacitygpa.org",
            "affiliation": "N",
            "endpointDescription": "Main Business Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2563 Woodlake Rd SW Apt 6",
            "city": "Wyoming",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495194718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Rutaremara, MD
• Mackenzie Rutgers
• RX Optical Laboratories, Inc.
• Austin Rykse
• Ali A Saab, D.O.
• Chelsea Sage-Germain, PH.D.
• Joseph G Sage, D.O.
• Elaina Sagorski
• Yasin Ali Sahin, MD
• Dalila Mariz Salas, MS, CCC-SLP

• Psychologist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.