Healthcare Provider Details

I. General information

NPI: 1497622526
Provider Name (Legal Business Name): BRIAN DANIEL SAGER APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RESERVOIR OFFICE PARK STE 306
SOUTHBURY CT
06488-3926
US

IV. Provider business mailing address

1 RESERVOIR OFFICE PARK STE 306
SOUTHBURY CT
06488-3926
US

V. Phone/Fax

Practice location:
  • Phone: 860-799-8344
  • Fax:
Mailing address:
  • Phone: 860-799-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number15511
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: