Organization Active NPI

Sage Psychiatry Associates

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1609747120
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SAGE PSYCHIATRY ASSOCIATES
Practice address
17610 Preston Rd Ste 1
Dallas, TX 75252-5734
Phone
(469) 715-5165
Fax
(469) 568-9191
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Imaan Alaidroos, MDNPI 1902396492
Title
Psychiatrist/Owner
Phone
(469) 715-4165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

17610 Preston Rd Ste 1
Dallas, TX 75252-5734

Mailing address

17610 Preston Rd Ste 1
Dallas, TX 75252-5734
Phone (469) 715-4165

National Provider Directory

National Provider Directory

Locations

17610 Preston Rd
Ste 1
Dallas, TX 75252
Phone (469) 715-4165

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1609747120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17610 PRESTON RD STE 1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525734",
            "telephone_number": "469-715-4165",
            "fax_number": "469-568-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17610 PRESTON RD STE 1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525734",
            "telephone_number": "469-715-5165",
            "fax_number": "469-568-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PSYCHIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "ALAIDROOS",
        "authorized_official_first_name": "IMAAN",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "469-715-4165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.