Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sage Bradley Shaw, LMLP

Individual provider Psychologist · NPI 1801554779

Sage Bradley Shaw, LMLP is a Psychologist in Ottawa, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

109 W 2nd St Ste A
Ottawa, KS 66067-2212
Phone: (785) 242-2991
Fax: (785) 242-4401
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LMLP03376 (KS)

Record details

NPI number1801554779
Entity typeIndividual (Type 1)
GenderMale
Credentials LMLP
Sole proprietorYes
NPI enumeratedDecember 7, 2021
Last updated in NPPESMarch 9, 2025
Certification dateMarch 9, 2025

Other providers in Ottawa