Sage Bradley Shaw, LMLP-T - Psychologist in Ottawa, KS

Sage Bradley Shaw, LMLP-T is a Psychologist - Clinical based in Ottawa, Kansas. Sage Bradley Shaw is licensed to practice in Kansas (license number 03100-T) and his current practice location is 109 W 2nd St Ste A, Ottawa, Kansas. He can be reached at his office (for appointments etc.) via phone at (785) 242-2991.

NPI number for Sage Bradley Shaw is 1801554779 and his current mailing address is 1953 Reno Rd, Ottawa, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801554779.

Contact Information

Sage Bradley Shaw, LMLP-T
109 W 2nd St Ste A,
Ottawa, KS 66067-2212
(785) 242-2991
(785) 242-4401



Healthcare Provider's Profile

Full NameSage Bradley Shaw
GenderMale
SpecialityPsychologist - Clinical
Location109 W 2nd St Ste A, Ottawa, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801554779
  • Provider Enumeration Date: 12/07/2021
  • Last Update Date: 12/07/2021

Medical Identifiers

Medical identifiers for Sage Bradley Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801554779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 03100-T (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sage Bradley Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sage Bradley Shaw, LMLP-T
1953 Reno Rd,
Ottawa, KS 66067-8754

Ph: (785) 214-9338
Sage Bradley Shaw, LMLP-T
109 W 2nd St Ste A,
Ottawa, KS 66067-2212

Ph: (785) 242-2991

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› Verified 3 days ago


Psychologist in Ottawa, KS

Joshua D Hypse, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067
Phone: 785-242-3780    Fax: 785-242-6397
Dana Rene' Paquette, LCP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 204 E 15th St, Ottawa, KS 66067
Phone: 785-242-2183    
Charles Patrick Garrick, LCP. LCAC, TTS
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1121 N Cedar St, Ottawa, KS 66067
Phone: 803-599-0129    
Andrew Lawrence Whitmore, LP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2537 Eisenhower Rd, Ottawa, KS 66067
Phone: 785-242-3780    Fax: 785-242-6397
Jennifer L L'heureux, LMLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 204 E 15th St, Ottawa, KS 66067
Phone: 785-242-2183    Fax: 785-242-1859

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