Active NPI
Jayoti Soor
- Psychologist
- Sterling, VA
National Provider Identifier
1073318556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0805002634
- Practice address
- 21351 Gentry Dr Ste 200
Sterling, VA 20166-8512 - Phone
- (703) 493-0891
- Fax
- (703) 552-1948
- NPI assigned
- Feb 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0805002634 | VA | Primary |
Addresses
Primary practice location
21351 Gentry Dr Ste 200
Sterling, VA 20166-8512
Mailing address
210 E Fairfax St Apt 507
Falls Church, VA 22046-2909
Phone (703) 419-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0805002634 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1073318556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E FAIRFAX ST APT 507",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220462909",
"telephone_number": "703-419-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21351 GENTRY DR STE 200",
"city": "STERLING",
"state": "VA",
"postal_code": "201668512",
"telephone_number": "703-493-0891",
"fax_number": "703-552-1948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOOR",
"first_name": "JAYOTI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0805002634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.