Sage Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25395 Issued in CA

Legal business name

SAGE PSYCHOLOGICAL SERVICES, PC

Practice address

2835 Camino del Rio S
Suite 120
San Diego, CA 92108-3825

Phone

(858) 228-7701

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By 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

Dr. Sage Schuitevoerder, PH.D.NPI 1962562892

Title

Owner

Phone

(858) 228-7701

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, and the practitioner matching its NPPES authorized official.

• Sage Schuitevoerder, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1962562892
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1558719492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 CAMINO DEL RIO S",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083825",
            "telephone_number": "858-228-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 CAMINO DEL RIO S",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083825",
            "telephone_number": "858-228-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "SCHUITEVOERDER",
        "authorized_official_first_name": "SAGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-228-7701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Safran, PHARMD
• Richard Edward Safrin, MD
• Hannah Grace Skadow Sagan, PT
• Gina Sagapolutele
• Sage PHD
• Sage Psychological Wellness, PC
• Danielle Nicole Sage
• Zackary James Sage
• Victoria Sager-Kemp, AMFT150069
• Camthi Sager, PHARMD.

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.