Organization Active NPI

Angelo Sadeghpour MD PHD, PLLC

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1689565244
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ANGELO SADEGHPOUR MD PHD, PLLC
Practice address
3081 Salzedo St Ste 202Aa
Coral Gables, FL 33134-6722
Phone
(305) 900-4543
Fax
(305) 686-1752
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Angelo Sadeghpour, MD PHDNPI 1790312650
Title
Member
Phone
(310) 906-8889

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

3081 Salzedo St Ste 202Aa
Coral Gables, FL 33134-6722

Mailing address

3081 Salzedo St Ste 202Aa
Coral Gables, FL 33134-6722
Phone (305) 900-4543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250812002744 FL Part B Supplier - Clinic/Group Practice 5991203614 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory
Tax ID family
Angelo Sadeghpour MD PHD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3081 Salzedo St
Ste 202AA
Coral Gables, FL 33134
Phone (305) 900-4543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1689565244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 SALZEDO ST STE 202AA",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346722",
            "telephone_number": "305-900-4543",
            "fax_number": "305-686-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 SALZEDO ST STE 202AA",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346722",
            "telephone_number": "305-900-4543",
            "fax_number": "305-686-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO SADEGHPOUR MD PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "SADEGHPOUR",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-906-8889",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.