Provider Demographics
NPI:1386235430
Name:SAGE PSYCHIATRIC SERVICES
Entity type:Organization
Organization Name:SAGE PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SIERE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKEE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:781-913-8406
Mailing Address - Street 1:27 GLEN ST STE 14
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2481
Mailing Address - Country:US
Mailing Address - Phone:781-913-8406
Mailing Address - Fax:949-561-4683
Practice Address - Street 1:27 GLEN ST STE 14
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2481
Practice Address - Country:US
Practice Address - Phone:781-913-8406
Practice Address - Fax:949-861-4683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty