Organization Active NPI

Susan Sagman PA

  • Community/Behavioral Health Agency
  • Boca Raton, FL
National Provider Identifier
1841473741
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW3461 Issued in FL
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

Updated by the provider on Dec 13, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8118515MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080110000343 FL Part B Supplier - Clinic/Group Practice 1850471293 Receives reassigned benefits from 2 practitioners
Practice locations: Boca Raton, FL; Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.