Active NPI
Sage Psychology Services LLC
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1831907146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SAGE PSYCHOLOGY SERVICES LLC
- Practice address
- 7801 New la Grange Rd
Louisville, KY 40222-4715 - Phone
- (502) 475-9960
- NPI assigned
- Dec 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annamarie Lynn Heink, PSYD
- Title
- Psychologist
- Phone
- (502) 475-9960
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
7801 New la Grange Rd
Louisville, KY 40222-4715
Mailing address
7801 New la Grange Rd
Louisville, KY 40222-4715
Phone (502) 475-9960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
5000 Chamberlain Ln
Louisville, KY 40241
Phone (502) 475-9960
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": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1831907146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 NEW LA GRANGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224715",
"telephone_number": "502-475-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 NEW LA GRANGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224715",
"telephone_number": "502-475-9960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE PSYCHOLOGY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "HEINK",
"authorized_official_first_name": "ANNAMARIE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "502-475-9960",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.