Jennifer Mattucci Santoro, M. D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101237728 Issued in VA

Practice address

8301 Arlington Blvd
Suite 505
Fairfax, VA 22031-2902

Phone

(703) 207-0001

Fax

(703) 573-5429

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 Jan 10, 2013 through Jan 10, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Health Visions Inc

  dba Philip B Andrews PHD

  • Clinical Psychologist
  • Fairfax, VA
  • NPI 1861531063
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679692701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "SUITE 505",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-207-0001",
            "fax_number": "703-573-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "SUITE 505",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-207-0001",
            "fax_number": "703-573-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "JENNIFER",
        "middle_name": "MATTUCCI",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101237728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Sandilos, MA, CCC-SLP
• Mary Celia Sands, M.S., C.G.C.
• Batzorigt Sanduijav, BNS RN,
• Kumaresan Sankaran, M.D.
• Sophia Santa Cruz, CCC-SLP
• Emelina Santos-Ilagan, M.D.
• Alison Santymire, RESIDENT LMFT
• Abdul Rab Sapan
• Sapna Surgery Center of Fairfax, LLC
• Sapphire Dental PLLC

• Psychiatry Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.