Provider Demographics
NPI:1881867059
Name:SAGEPOINT INSTITUTE
Entity Type:Organization
Organization Name:SAGEPOINT INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYS, LLP
Authorized Official - Phone:734-913-5404
Mailing Address - Street 1:2350 WASHTENAW AVE
Mailing Address - Street 2:ST. 7
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4532
Mailing Address - Country:US
Mailing Address - Phone:734-913-5404
Mailing Address - Fax:734-913-5845
Practice Address - Street 1:2350 WASHTENAW AVE
Practice Address - Street 2:ST. 7
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4532
Practice Address - Country:US
Practice Address - Phone:734-913-5404
Practice Address - Fax:734-913-5845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty