Samuel Brady Sondalle, MD, PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

71876 Issued in CT

Practice address

291 Whitney Ave Ste 103
New Haven, CT 06511-3700

Phone

(475) 455-3351

Fax

(203) 713-5783

NPI assigned

Apr 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Mar 2, 2026 through Mar 2, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: ssondalle378282@direct.ynhh.org

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1114547189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 WHITNEY AVE STE 103",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113700",
            "telephone_number": "475-455-3351",
            "fax_number": "203-713-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 WHITNEY AVE STE 103",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113700",
            "telephone_number": "475-455-3351",
            "fax_number": "203-713-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDALLE",
        "first_name": "SAMUEL",
        "middle_name": "BRADY",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "71876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Michelle Solis, HS
• Daniel G Solomon, M.D.
• Nadia Solomon, MD, MSC, MA
• Shelby Ann Somers, AU.D., CCC-A
• Stefan Somlo, MD
• Karen Wright Sondergaard, M.D.
• David Song
• Hoyeon Eric Song, MD PHD
• Junmin Song, M.D.
• Shivani Bharatbhai Soni, M.D.

• Psychiatry Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.