Healthcare Provider Details

I. General information

NPI: 1609781475
Provider Name (Legal Business Name): SAGE & SUMMIT PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 N 12TH ST
GRAND JUNCTION CO
81501-2916
US

IV. Provider business mailing address

1010 RICO CT
GRAND JUNCTION CO
81506-8273
US

V. Phone/Fax

Practice location:
  • Phone: 970-579-0003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: NICOLE FRETTERD
Title or Position: NURSE PRACTITIONER
Credential: MSN, PMHNP-BC
Phone: 970-683-8281