Sage Behavioral Health Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0930 Issued in NM

Legal business name

SAGE BEHAVIORAL HEALTH CENTER

Practice address

2929 Coors Blvd NW Ste 100D
Albuquerque, NM 87120-1272

Phone

(505) 977-9180

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mark S Simpson, PSYD

Title

Director/Clinical Psychologist

Phone

(505) 977-9180

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mark Simpson PSYD Mac Ladac3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sage Addiction Treatment Services

  • Addiction (Substance Use Disorder) Psychologist
  • Albuquerque, NM
  • NPI 1558762245
  NPD tax ID
• Sobriety House

  • Substance Abuse Rehabilitation Facility
  • Albuquerque, NM
  • NPI 1356527162
  NPD tax ID

Locations

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1679974943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 COORS BLVD NW STE 100D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201272",
            "telephone_number": "505-977-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 COORS BLVD NW STE 100D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201272",
            "telephone_number": "505-977-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-977-9180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "0930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518952662",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Safken, MFT
• Mark J Sagarin, MD
• Sage Addiction Treatment Services
• Sage and Centered Counseling LLC
• Sage Bear Counseling, LLC
• Sage Child and Adolescent Services
• Sage Femme Midwifery
• Sage Horizon Behavioral Health LLC
• Sage Neuroscience Center Inc
• Sage Primary Care Clinic

• Clinical Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.