Active NPI
Susan Sagman PA
- Community/Behavioral Health Agency
- Boca Raton, FL
National Provider Identifier
1841473741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SW3461
- Legal business name
- SUSAN SAGMAN PA
- Practice address
- 21691 Abington CT
Boca Raton, FL 33428-4831 - Phone
- (561) 929-0996
- Fax
- (561) 218-6029
- NPI assigned
- Dec 13, 2007
- 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
- Mrs. Susan Faith Sagman, L.C.S.W.
- Title
- President
- Phone
- (561) 929-0996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | SW3461 | FL | Primary |
Addresses
Primary practice location
21691 Abington CT
Boca Raton, FL 33428-4831
Mailing address
21691 Abington CT
Boca Raton, FL 33428-4831
Phone (561) 929-0996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8118515 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2151 W Hillsboro Blvd
Ste 204
Deerfield Beach, FL 33442
Phone (954) 426-0410
5341 Atlantic Ave
Ste 301
Delray Beach, FL 33484
Phone (305) 807-8089
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1912105289
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1750837530
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1972586626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1841473741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21691 ABINGTON CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284831",
"telephone_number": "561-929-0996",
"fax_number": "561-218-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21691 ABINGTON CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284831",
"telephone_number": "561-929-0996",
"fax_number": "561-218-6029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN SAGMAN PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "SAGMAN",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "FAITH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-929-0996",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "L.C.S.W."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "SW3461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8118515",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.