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SAGE WELLNESS GROUP LLC NPI 1134719313


NPI Information

NPI: 1134719313
Provider Name: SAGE WELLNESS GROUP, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
515 HAMILTON ST STE 200
GENEVA, IL
ZIP 60134
Phone: (630) 768-5698
Get Directions

SAGE WELLNESS GROUP, LLC is a clinical psychologist in Geneva, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. SAGE WELLNESS GROUP, LLC NPI is 1134719313. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

515 HAMILTON ST STE 200
GENEVA, IL
ZIP 60134-138
Phone: (630) 768-5698

The provider's authorized official is Brittany Nelson .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (630) 768-5698.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 1/21/2021.


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
1103TA0700XPsychologistAdult Development & AgingNo
2103TB0200XPsychologistCognitive & BehavioralNo
3103TC2200XPsychologistClinical Child & AdolescentNo
4103TF0000XPsychologistFamilyNo
5103TC0700XPsychologistClinicalYes

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: 5/5/2024

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