Individual provider Active NPI

Samiram Saghafi, PSYD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1013680578
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019543 Issued in PA
Practice address
3720 Spruce St
Philadelphia, PA 19104-4115
Phone
(844) 287-4228
NPI assigned
Jul 29, 2021
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS019543 PA Primary
Clinical Psychologist 103TC0700X 024430 NY

Addresses

Primary practice location

3720 Spruce St
Philadelphia, PA 19104-4115

Mailing address

22 Beaver St
Ambridge, PA 15003-2487

Other practice location 1

22 Beaver St
Ambridge, PA 15003-2487
Phone (412) 347-1978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS019543PAMDPsychologist
024430NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Behavioral Health and Wellness, PC CurrentSince Jul 31, 2023 Accepting new patients

Locations

22 Beaver St
Ambridge, PA 15003
Phone (412) 347-1978

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1013680578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BEAVER ST",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150032487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044115",
            "telephone_number": "844-287-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Beaver St",
            "address_purpose": "LOCATION",
            "city": "Ambridge",
            "state": "PA",
            "postal_code": "150032487",
            "country_code": "US",
            "telephone_number": "412-347-1978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGHAFI",
        "first_name": "SAMIRAM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019543",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.