Organization Active NPI

Sage Therapy Group, LLC

  • Clinical Social Worker
  • Hatboro, PA
National Provider Identifier
1982286209
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAGE THERAPY GROUP, LLC
Doing business as
Sage Therapy Group, LLC
Practice address
101 E Moreland Ave
Hatboro, PA 19040-4742
Phone
(267) 406-0614
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Andrea Gahagan, LCSWNPI 1316571540
Title
Owner/Therapist
Phone
(215) 622-7736

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 Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

101 E Moreland Ave
Hatboro, PA 19040-4742

Mailing address

109 Overlook Ave
Willow Grove, PA 19090-2723
Phone (215) 622-7736

Other names 1

  • Sage Therapy Group, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210701003624 PA Part B Supplier - Clinic/Group Practice 4981005592 Receives reassigned benefits from 1 practitioner
Practice locations: Hatboro, PA

National Provider Directory

National Provider Directory

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": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1982286209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OVERLOOK AVE",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902723",
            "telephone_number": "215-622-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MORELAND AVE",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190404742",
            "telephone_number": "267-406-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "GAHAGAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "215-622-7736",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Therapy Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.