Sage Behavioral Health and Wellness LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2012007968 Issued in MO

Legal business name

SAGE BEHAVIORAL HEALTH AND WELLNESS LLC

Practice address

1801 NW Platte Rd
Suite 229
Riverside, MO 64150-7509

Phone

(816) 813-1017

NPI assigned

Jan 28, 2015

Last updated

Jan 28, 2015By 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. Julie C Sage, PHDNPI 1457625519

Title

Clinical Psychologist/Owner

Phone

(816) 813-1017

Specialties & licenses 1

Addresses

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.

• Julie C. Sage, PHD

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1457625519
  Authorized official Same address or phone

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1609266782",
    "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": "1801 NW PLATTE RD",
            "address_2": "SUITE 229",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641507509",
            "telephone_number": "816-813-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE BEHAVIORAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "816-813-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2012007968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Pharmacy Associates, LLC (Apex Specialty Pharmacy)
• Abigail Hardy Rives, LCSW
• Josie Deeanna Ross, PHARM.D.
• Nicholas Adam Rudloff, D.O.
• Stacey Jo Russell, PTA
• Shelby Jennings Sailor, PTA
• Serc Rehabilitation Partners, LLC (Serc)
• Andrew Carl Shore
• Show Me State Infusion Pharmacy (Show Me State Vital Care)
• Sizewise Rentals LLC

• Clinical Psychologist in Riverside, MO
• Providers in Riverside, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.