=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043172380
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SONNET PSYCHIATRY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/25/2025
-----------------------------------------------------
Last Update Date | 11/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 S 4TH ST STE 401
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55415-1419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-208-9686
-----------------------------------------------------
Fax | 612-500-4612
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 400 S 4TH ST STE 401 PMB 1059
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55415-1419
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-208-9686
-----------------------------------------------------
Fax | 612-500-4612
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MOHAMMAD MASOUD SALEHI NAMIN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 612-208-9686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------