SAGE EDUCATIONAL PSYCHOLOGY INC NPI 1275355901

NPI Information

  • NPI: 1275355901
  • Provider Name: SAGE EDUCATIONAL PSYCHOLOGY INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 350 COLLEGE AVE STE 101
    SANTA ROSA, CA
    ZIP 95401
  • Phone: (707) 852-1630

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NPI Details

SAGE EDUCATIONAL PSYCHOLOGY INC is a mental health (including community mental health center) clinic center in Santa Rosa, CA. SAGE EDUCATIONAL PSYCHOLOGY INC NPI is 1275355901. The provider is registered as an organization entity type.

The provider's business location address is:

350 COLLEGE AVE STE 101
SANTA ROSA, CA
ZIP 95401-125
Phone: (707) 852-1630

The provider's authorized official is Julia Vander Vennet .
The authorized official title is Ceo and has the following contact phone number (707) 852-1630.

The enumeration date for this NPI number is 10/24/2024 and was last updated on 10/24/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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