Individual provider Active NPI

Sangeeta Reddy Chitlu, MD

  • Child & Adolescent Psychiatry Physician
  • Leesburg, VA
National Provider Identifier
1336342195
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101245637 Issued in VA
Practice address
44169 Riverpoint Dr
Leesburg, VA 20176-8207
Phone
(703) 585-9524
NPI assigned
Jun 8, 2007
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 0101245637 VA Primary

Addresses

Primary practice location

44169 Riverpoint Dr
Leesburg, VA 20176-8207

Mailing address

44169 Riverpoint Dr
Leesburg, VA 20176-8207
Phone (703) 585-9524

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101245637VAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lansdowne Mental Health Services Child & Adolescent Psychiatry CurrentSince Jan 22, 2023 Accepting new patients
County of Loudoun, Virginia Past Accepting new patients

Locations

19440 Golf Vista Plz
Ste 230
Lansdowne, VA 20176
Phone (571) 510-0607

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1336342195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44169 RIVERPOINT DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768207",
            "telephone_number": "703-585-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44169 RIVERPOINT DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768207",
            "telephone_number": "703-585-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITLU",
        "first_name": "SANGEETA",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101245637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.