Sage & Fifth Therapy Place PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAGE & FIFTH THERAPY PLACE PLLC

Practice address

1250 Connecticut Ave NW Ste 700
Washington, DC 20036-2657

Phone

(202) 935-5912

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Huma Sikandar Fatakia, LPCNPI 1528516275

Title

Founder & Ceo

Phone

(202) 935-5912

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

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

• Huma Sikandar Fatakia, LPC

  • Mental Health Counselor
  • Washington, DC
  • NPI 1528516275
  NPD Authorized official

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1760067151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CONNECTICUT AVE NW STE 700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362657",
            "telephone_number": "202-935-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CONNECTICUT AVE NW STE 700",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362657",
            "telephone_number": "202-935-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE & FIFTH THERAPY PLACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "FATAKIA",
        "authorized_official_first_name": "HUMA",
        "authorized_official_middle_name": "SIKANDAR",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "202-935-5912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "huma@sageandfifththerapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "233 S St NE",
            "address_2": "Unit 1",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200021666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeremy Tyler Safran, M.D.
• Julian Edwin Safran, MD
• Emilija Sagaityte
• Cora Sagar, M.S., CF-SLP
• Nischal Sagar, M.D.
• Sage Therapy Collective PLLC
• Hannah Sagedy
• Denise Jessie Sager
• Mazdak Sagheb Tehrani, PHARM.D
• Desire Sah

• Mental Health Counselor in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Counselor in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.