Mantra Mental Health PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MANTRA MENTAL HEALTH PLLC

Practice address

3925 Blenheim Blvd Ste 52a
Fairfax, VA 22030-2426

Phone

(571) 368-6654

Fax

(571) 368-6655

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sonal Jagasia, MDNPI 1912223306

Title

Owner

Phone

(317) 730-4617

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Sonal Jagasia, MD

  • Psychiatry Physician
  • Vienna, VA
  • NPI 1912223306
  NPD Authorized official

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1285474163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 BARKLEY GATE LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311462",
            "telephone_number": "479-283-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 BLENHEIM BLVD STE 52A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302426",
            "telephone_number": "571-368-6654",
            "fax_number": "571-368-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTRA MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "JAGASIA",
        "authorized_official_first_name": "SONAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-730-4617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@mantramentalhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3925 Blenheim Blvd Ste 52A",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220302426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra M Mansfield, LCSW
• Max Manson
• Darlene Mansoor, M.D.
• Renu Sharaf Mansukhani, M.D.
• Diane Mantos, RN, BSN, CCM
• Alison Beth Mantua, PA-C
• Aileen Marie Mapalo, OT
• Maple Chiropractic & Acupuncture Clinic, LLC
• Ronica A Marable, PHD
• Alhaji Marah

• Adult Mental Health Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.