Organization Active NPI

Sage Psythotherapy,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
National Provider Identifier
1629513247
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MFT37167 Issued in CA
Legal business name
SAGE PSYTHOTHERAPY,
Practice address
2627 J St
Second Floor
Sacramento, CA 95816-4371
Phone
(916) 614-9200
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Robin Kirk
Title
Ceo
Phone
(916) 614-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MFT37167 CA Primary

Addresses

Primary practice location

2627 J St
Second Floor
Sacramento, CA 95816-4371

Mailing address

352 Rio del Oro LN
Sacramento, CA 95825-6326
Phone (916) 614-9200

National Provider Directory

National Provider Directory

Locations

2627 J St
Fl Second
Sacramento, CA 95816
Phone (916) 614-9200

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1629513247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 RIO DEL ORO LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256326",
            "telephone_number": "916-614-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 J ST",
            "address_2": "SECOND FLOOR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164371",
            "telephone_number": "916-614-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PSYTHOTHERAPY,",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-614-9200"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "MFT37167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.