SAGE PSYCHIATRY SERVICES LLC
NPI 1700665577
Psychiatry & Neurology - Psychiatry in Cody, WY
- Organization
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- CLIA Number: 53D2336318
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 12-29-2027
About SAGE PSYCHIATRY SERVICES LLC
This page provides the complete NPI Profile along with additional information for Sage Psychiatry Services Llc, a provider established in Cody, Wyoming operating as a Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1700665577 assigned on September 2023. The practitioner's primary taxonomy code is 2084P0800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Sage Psychiatry Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Krista L Blough Aprn, Pmhnp-bc (Owner)
- NPI
- 1700665577 Verify this NPI
- Provider Name
- SAGE PSYCHIATRY SERVICES LLC
- Entity Type
- Organization
- Location Address
- 1002 RUMSEY AVE STE A CODY, WY 82414
- Location Phone
- (307) 395-7510
- Location Fax
- (307) 395-7511
- Mailing Address
- 1002 RUMSEY AVE STE A CODY, WY 82414
- Mailing Phone
- (307) 395-7510
- Mailing Fax
- (307) 395-7511
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2023
- Last Update Date
- 01-11-2024
- Code Navigator
A psychiatrist like Sage Psychiatry Services Llc are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 364SP0808X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1447491188 | OTHER (01) | INDIVIDUAL NPI | |
| 1669740858 | OTHER (01) | INDIVIDUAL NPI | |
| 1538432513 | OTHER (01) | INDIVIDUAL NPI | |
| 1851366314 | OTHER (01) | INDIVIDUAL NPI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 53D2336318
- Facility Type
- Practitioner Other
- Certificate Effective Date
- December 30, 2025
- Certificate Expiration Date
- December 29, 2027
- Laboratory Director
- KRISTA BLOUGH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sage Psychiatry Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SAGE PSYCHIATRY SERVICES LLC
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CODY, WY 82414
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700665577, enumerated as an "organization" on September 21, 2023.
The provider is located at 1002 RUMSEY AVE STE A CODY, WY 82414 and the phone number is (307) 395-7510.
Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.
The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, Medicare and. Please consult your insurance carrier or call the provider to verify.
