Sage Recovery Austin LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

SAGE RECOVERY AUSTIN LLC

Practice address

7201 Gilbert Rd
Manor, TX 78653-5346

Phone

(512) 306-1394

Fax

(512) 306-1603

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Tiffany AnschutzNPI 1164760252

Title

President/Founder/Ceo

Phone

(512) 306-1394

Specialties & licenses 2

Addresses

Practitioners 2

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

• Tiffany Dawn Anschutz, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1164760252
  NPD Authorized official
• Amy E Walton, M.D.

  • Psychiatry Physician
  • Austin, TX
  • NPI 1194739813
  NPD (past)

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1710763917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 GILBERT RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 GILBERT RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535346",
            "telephone_number": "512-306-1394",
            "fax_number": "512-306-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE RECOVERY AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "ANSCHUTZ",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER/CEO",
        "authorized_official_telephone_number": "512-306-1394"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Ruiz, M.D.
• Jonathan Lane Rust, LCDC
• Rxthat, Inc.
• Mariam Sabir, MD
• Sage Recovery & Wellness Center (Sage Recovery Villa)
• Felix Samuragwa
• Aldo Sanchez Perez
• Santa Maria Dental, P.C.
• Hannah Schake
• Kristina M Scroggins, CSFA

• Psychiatric Residential Treatment Facility in Manor, TX
• Providers in Manor, TX by specialty
• Psychiatric Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.