| Sage Psychiatry, Llc | |
|
4740 Flintridge Dr Ste 220i Colorado Springs CO 80918-4273 | |
| (719) 224-9080 | |
| (719) 888-1550 |
| Full Name | Sage Psychiatry, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4740 Flintridge Dr Ste 220i, Colorado Springs, Colorado |
| Authorized Official Name and Position | Julie Klaker (OWNER) |
| Authorized Official Contact | 7192249080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Psychiatry, Llc 4740 Flintridge Dr Ste 220i Colorado Springs CO 80918-4273 Ph: (719) 224-9080 | Sage Psychiatry, Llc 4740 Flintridge Dr Ste 220i Colorado Springs CO 80918-4273 Ph: (719) 224-9080 |
| NPI Number | 1821667353 |
|---|---|
| Provider Enumeration Date | 06/19/2021 |
| Last Update Date | 02/18/2024 |
| Medicare PECOS PAC ID | 3072910959 |
|---|---|
| Medicare Enrollment ID | O20210920001475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821667353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Julie M Klaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215134705 PECOS PAC ID: 2365535077 Enrollment ID: I20070911000239 |
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