NPIMap

Organization Active NPI

Sage Professional Consulting Corporation

  • Clinical Psychologist
  • La Grange, TX
National Provider Identifier
1770639379
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33121 Issued in TX
Legal business name
SAGE PROFESSIONAL CONSULTING CORPORATION
Practice address
Two Saint Mark'S PL Ste 147
La Grange, TX 78945
Phone
(979) 530-8246
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Dr. Suzanne Carlton Hart, PH.D.NPI 1346340742
Title
Director
Phone
(979) 530-8246

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 33121 TX Primary

Addresses

Primary practice location

Two Saint Mark'S PL Ste 147
La Grange, TX 78945

Mailing address

Two Saint Mark'S PL Ste 147
La Grange, TX 78945
Phone (979) 530-8246

National Provider Directory

National Provider Directory

Locations

2 Saint Marks Pl
Ste 147
La Grange, TX 78945
Phone (979) 530-8246

Practitioners & affiliated clinicians

Practitioners 1

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1770639379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TWO SAINT MARK'S PL STE 147",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "78945",
            "telephone_number": "979-530-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO SAINT MARK'S PL STE 147",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "78945",
            "telephone_number": "979-530-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PROFESSIONAL CONSULTING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "979-530-8246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.