Organization Active NPI

Sage Psychotherapy Services, LLC

  • Clinical Social Worker
  • Sparta, NJ
National Provider Identifier
1669880878
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05214800 Issued in NJ
Legal business name
SAGE PSYCHOTHERAPY SERVICES, LLC
Practice address
200 Woodport Rd
Unit B
Sparta, NJ 07871-2628
Phone
(973) 726-3772
Fax
(973) 726-3775
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Janine Maris, LCSWNPI 1063680205
Title
Owner
Phone
(973) 726-3772

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05214800 NJ Primary

Addresses

Primary practice location

200 Woodport Rd
Unit B
Sparta, NJ 07871-2628

Mailing address

200 Woodport Rd
Unit B
Sparta, NJ 07871-2628
Phone (973) 726-3772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150429001771 NJ Part B Supplier - Clinic/Group Practice 2769701507 Receives reassigned benefits from 2 practitioners
Practice locations: Sparta, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1669880878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WOODPORT RD",
            "address_2": "UNIT B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712628",
            "telephone_number": "973-726-3772",
            "fax_number": "973-726-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOODPORT RD",
            "address_2": "UNIT B",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712628",
            "telephone_number": "973-726-3772",
            "fax_number": "973-726-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "MARIS",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-726-3772",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05214800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.