Provider Demographics
NPI:1013671585
Name:ANGELI, SARAH JOSEPHINE (PSYD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JOSEPHINE
Last Name:ANGELI
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JOSEPHINE
Other - Last Name:VIRDI-ANGELI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:760 BROADWAY RM 2TA-304
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5317
Mailing Address - Country:US
Mailing Address - Phone:718-486-2747
Mailing Address - Fax:
Practice Address - Street 1:760 BROADWAY RM 5A-205
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5317
Practice Address - Country:US
Practice Address - Phone:718-963-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025539103TC0700X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist