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SAGE PSYCHIATRY SERVICES LLC
NPI 1700665577
Psychiatry & Neurology - Psychiatry in Cody, WY

Active since September 21, 2023CLIA 53D2336318 · Waiver
1002 RUMSEY AVE STE A, CODY, WY 82414(307) 395-7510(307) 395-7511 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sage Psychiatry Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAGE PSYCHIATRY SERVICES LLC (NPI 1700665577) is a healthcare organization registered as a psychiatry in Cody, Wyoming and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Krista L Blough, Owner, as its authorized official.

NPPES Registry Identity

NPI1700665577
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSAGE PSYCHIATRY SERVICES LLC
Location Address1002 RUMSEY AVE STE ACody, WY 82414-3533
Mailing Address1002 Rumsey Ave Ste ACody, WY 82414-3533 · (307) 395-7510 · Fax (307) 395-7511
Phone(307) 395-7510
Fax(307) 395-7511
Organization SubpartNo
Authorized OfficialKrista L BloughOwner · (307) 395-7510
Enumeration DateSeptember 21, 2023
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1700665577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X
1002 RUMSEY AVE STE A, Cody, WY 82414
Open in Google Maps ↗

Other Identifiers 4

Other1447491188Individual Npi
Other1669740858Individual Npi
Other1538432513Individual Npi
Other1851366314Individual Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2336318

Sage Psychiatry Services · Cody, WY
Active · expires Dec 29, 2027
CLIA Number53D2336318
Laboratory TypePractitioner Other
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorKrista Blough
Laboratory Phone(307) 395-7510
Laboratory LocationSage Psychiatry Services1002 Rumsay Ave, Suite A, Cody, WY 82414
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN KAWANA ZERKLE MA / PS
Physician Assistant (Medical)
1002 RUMSEY AVE STE A
CODY, WY 82414
Park County (307) 395-7510
KRISTA LEE BLOUGH A.P.R.N.
Clinical Nurse Specialist (Psychiatric/Mental Health)
1002 RUMSEY AVE STE A
CODY, WY 82414
Park County (307) 395-7510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sage Psychiatry Services LLC's NPI number?

The NPI number for Sage Psychiatry Services LLC is 1700665577. It was assigned to this organization in the NPPES registry on September 21, 2023.

Where is Sage Psychiatry Services LLC located?

Sage Psychiatry Services LLC is located at 1002 Rumsey Ave Ste A, Cody, WY 82414. The listed phone number is (307) 395-7510.

What is Sage Psychiatry Services LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Sage Psychiatry Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2336318) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sage Psychiatry Services LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Sage Psychiatry Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sage Psychiatry Services LLC was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.