Sage Psychological Consulting
Pediatric Neurodevelopmental Disabilities
Sage Psychological Consulting is a Forest Park, Georgia based Pediatric center with medical specialization in
Pediatric Neurodevelopmental Disabilities. Sage Psychological Consulting is doing business as
Sage Psychological Consulting.
It is located at
526 Forest Pkwy Ste C, Forest Park, Georgia - 30297-6140. They can be contacted on phone at
404-317-2283.
NPI number (Unique professional ID) for Sage Psychological Consulting is
1235866120 which was assigned by NPPES on 02 Aug, 2022 and it was last updated on 02 Aug, 2022.
Sage Psychological Consulting treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
Sage Psychological Consulting basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neurodevelopmental Disabilities |
|---|
| Provider Name : | Sage Psychological Consulting |
|---|
| Other Name : | Sage Psychological Consulting |
|---|
Business Address:
Sage Psychological Consulting address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 526 Forest Pkwy Ste C
Forest Park, GA, 30297-6140
United States |
|---|
| Phone Number : | 404-317-2283 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235866120 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 02 Aug, 2022 |
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| Last Updated On : | 02 Aug, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Triphiniamargaret Wallace |
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| Authorized Official Credential : | PHD |
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| Official Title or Position : | PSYCHOLOGIST |
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| Phone Number : | 404-317-2283 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sage Psychological Consulting are as mentioned. Primary taxonomy code for Sage Psychological Consulting is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Sage Psychological Consulting such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003222721A | MEDICAID | GA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
CONNECT
(CONNECT URL) | www.ccsforestpark.com
website | No affiliation | DIRECT
Direct
| OTHER
Other
DK | 526 FOREST PKWY STE C,
FOREST PARK, GA, 30297-6140
United States |
CONNECT
(CONNECT URL) | www.ccsforestpark.com
website | No affiliation |
|
| 526 FOREST PKWY STE C,
FOREST PARK, GA, 30297-6140
United States |
CONNECT
(CONNECT URL) | www.ccsforestpark.com
website | No affiliation | DIRECT
Direct
| OTHER
Other
DK | 526 FOREST PKWY STE C,
FOREST PARK, GA, 30297-6140
United States |
CONNECT
(CONNECT URL) | www.ccsforestpark.com
website | No affiliation |
|
| 526 FOREST PKWY STE C,
FOREST PARK, GA, 30297-6140
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4062 Peachtree Rd Ne # 190a
Brookhaven, GA, 30319-3021
United States |
|---|
| Phone Number : | 404-317-2283 |
|---|
Business Location:
Patients can refer following map for directions to
Sage Psychological Consulting practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.