| Sage Behavioral Health Center | |
|
2929 Coors Blvd Nw Ste 100d Albuquerque NM 87120-1272 | |
| (505) 977-9180 | |
| Not Available |
| Full Name | Sage Behavioral Health Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2929 Coors Blvd Nw Ste 100d, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mark S Simpson (DIRECTOR/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5059779180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Behavioral Health Center 2929 Coors Blvd Nw Ste 100d Albuquerque NM 87120-1272 Ph: (505) 977-9180 | Sage Behavioral Health Center 2929 Coors Blvd Nw Ste 100d Albuquerque NM 87120-1272 Ph: (505) 977-9180 |
| NPI Number | 1679974943 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 09/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679974943 | NPI | - | NPPES |
| 1518952662 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0930 (New Mexico) | Primary |
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