Individual provider Active NPI

Jasdeep Sohi, MD

  • Child & Adolescent Psychiatry Physician
  • Chagrin Falls, OH
National Provider Identifier
1588857908
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35.095714 Issued in OH
Practice address
551 Washington St
Chagrin Falls, OH 44022-4403
Phone
(440) 893-9393
NPI assigned
Aug 20, 2007
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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 35.095714 OH Primary

Addresses

Primary practice location

551 Washington St
Chagrin Falls, OH 44022-4403

Mailing address

551 E Washington Street
Chagrin Falls, OH 44022-4403
Phone (440) 893-9393

Other identifiers 1

IdentifierTypeStateIssuer
0091264MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723002516 OH Practitioner - Psychiatry 1355567520 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health, Inc CurrentSince May 10, 2014 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Dec 15, 2021 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Signature Health Inc CurrentSince May 10, 2014 Accepting new patients

Locations

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

Interoperability endpoints

  • Direct secure messaging: jsohi327773@direct.ochin.org

Organizations & group practices 4

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1588857908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 E WASHINGTON STREET",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224403",
            "telephone_number": "440-893-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440224403",
            "telephone_number": "440-893-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHI",
        "first_name": "JASDEEP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.095714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091264",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

Verify at the official NPI Registry.