Individual provider Active NPI

Angela Teresa Vittori, MD

  • Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1689162968
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
156901 Issued in FL
Practice address
2600 N Military TRL Ste 355
Boca Raton, FL 33431-6330
Phone
(561) 510-9150
NPI assigned
Apr 23, 2018
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 156901 FL Primary
Psychiatry Physician 2084P0800X TRN26251 FL

Addresses

Primary practice location

2600 N Military TRL Ste 355
Boca Raton, FL 33431-6330

Mailing address

125 NE 32ND St Apt 1619
Miami, FL 33137-4353
Phone (832) 659-7392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 8, 2024 through Jul 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
156901FLMDPsychiatry Physician
TRN26251FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Sam, LLC Psychiatry CurrentSince Jul 21, 2024 Accepting new patients

Locations

2600 N Military Trl
Ste 355
Boca Raton, FL 33431
Phone (561) 510-9150

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1689162968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NE 32ND ST APT 1619",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374353",
            "telephone_number": "832-659-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL STE 355",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316330",
            "telephone_number": "561-510-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTORI",
        "first_name": "ANGELA",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "156901",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TRN26251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.