Organization Active NPI

Polymath Psychiatric Physicians, PLLC

  • Psychiatry Physician
  • St Petersburg, FL
National Provider Identifier
1275378044
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
POLYMATH PSYCHIATRIC PHYSICIANS, PLLC
Practice address
5321 1St Ave S
St Petersburg, FL 33707-6101
Phone
(707) 932-5616
Fax
(617) 507-7972
NPI assigned
Jun 25, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Dr. Kaveh Cyrus Ghaedi Ghaedi, DONPI 1235576224
Title
Member
Phone
(707) 932-5616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

5321 1St Ave S
St Petersburg, FL 33707-6101

Mailing address

5321 1St Ave S
St Petersburg, FL 33707-6101
Phone (707) 932-5616

National Provider Directory

National Provider Directory

Locations

5321 1st Ave S
St Petersburg, FL 33707
Phone (707) 932-5616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1275378044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337076101",
            "telephone_number": "707-932-5616",
            "fax_number": "617-507-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337076101",
            "telephone_number": "707-932-5616",
            "fax_number": "617-507-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYMATH PSYCHIATRIC PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "GHAEDI",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_middle_name": "CYRUS GHAEDI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "707-932-5616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.