Organization Active NPI

S.a.G.E. Adult Day Care

  • Mental Health Counselor
  • Redford, MI
National Provider Identifier
1740640424
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801001948 Issued in MI
Legal business name
S.A.G.E. ADULT DAY CARE
Practice address
17715 Brady
Redford, MI 48240-2117
Phone
(888) 473-2408
Fax
(248) 504-5609
NPI assigned
Feb 24, 2016
Last updated
Feb 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Allen Lea White, LMSW
Title
Clinical Social Worker
Phone
(313) 270-2537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801001948 MI Primary

Addresses

Primary practice location

17715 Brady
Redford, MI 48240-2117

Mailing address

17715 Brady
Redford, MI 48240-2117
Phone (888) 473-2408

National Provider Directory

National Provider Directory

Locations

17715 Brady
Redford, MI 48240
Phone (586) 215-1678

Practitioners & affiliated clinicians

Practitioners 3

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": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1740640424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17715 BRADY",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402117",
            "telephone_number": "888-473-2408",
            "fax_number": "248-504-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17715 BRADY",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402117",
            "telephone_number": "888-473-2408",
            "fax_number": "248-504-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A.G.E. ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "313-270-2537",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801001948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.