Provider Type Icon

SAGE ADDICTION TREATMENT SERVICES NPI 1558762245


NPI Information

NPI: 1558762245
Provider Name: SAGE ADDICTION TREATMENT SERVICES
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
2929 COORS BLVD NW STE 100D
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 977-9180
Get Directions

SAGE ADDICTION TREATMENT SERVICES is an addiction (substance use disorder) psychologist in Albuquerque, NM. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. SAGE ADDICTION TREATMENT SERVICES NPI is 1558762245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2929 COORS BLVD NW STE 100D
ALBUQUERQUE, NM
ZIP 87120-272
Phone: (505) 977-9180

The provider's authorized official is Mark S Simpson .
The authorized official title is Director/clinical Psychologist and has the following contact phone number (505) 977-9180.

The enumeration date for this NPI number is 9/12/2014 and was last updated on 9/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)0930NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11518952662MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.