Individual provider Active NPI

Sydonie Bongam, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Purcellville, VA
National Provider Identifier
1881169415
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024176878 Issued in VA
Practice address
201 N Maple Ave Unit 200
Purcellville, VA 20132-6102
Phone
(703) 662-5899
NPI assigned
Oct 10, 2018
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R200143 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1035308 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024176878 VA Primary

Addresses

Primary practice location

201 N Maple Ave Unit 200
Purcellville, VA 20132-6102

Mailing address

15962 Paynes Farm Dr
Haymarket, VA 20169-8189

Other practice location 1

9909 Medical Center Dr
Rockville, MD 20850-6361
Phone (240) 554-7071

Other practice location 2

801 Pennsylvania Ave SE
Washington, DC 20003-2167
Phone (202) 546-1512

Other identifiers 1

IdentifierTypeStateIssuer
R200143OtherMDAANP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, PA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190218000413 MD Practitioner - Nurse Practitioner 9638080252 Reassigns benefits to 1 organization
I20190219000021 DC Practitioner - Nurse Practitioner 9638080252 Reassigns benefits to 3 organizations
I20210727000080 VA Practitioner - Nurse Practitioner 9638080252 Reassigns benefits to 1 organization
I20240506001172 PA Practitioner - Nurse Practitioner 9638080252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Connections IncGroup PAC ID 7315930831, 6 clinicians

Practice addresses (Care Compare)

801 Pennsylvania Ave SE
Suite 201
Washington, DC 20003-2152
Phone (202) 683-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1035308DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Behavioral Health Hospital LLC CurrentSince Apr 2, 2024 Accepting new patients
Therapy Solutions, LLC CurrentSince Nov 3, 2024 Accepting new patients
Community Connections Inc CurrentSince Jan 6, 2026 Accepting new patients
Ravi Passi MD PC CurrentSince Jan 2, 2019 Accepting new patients
Signify Health, LLC CurrentSince Jun 6, 2024 Accepting new patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Jan 17, 2022 Accepting new patients
Solace Grove Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients
Dynamic Visions Inc PastSince Aug 4, 1997 Accepting new patients

Locations

801 Pennsylvania Ave SE
Washington, DC 20003
Phone (202) 546-1512

801 Pennsylvania Ave SE
Ste 201
Washington, DC 20003
Phone (202) 281-3988

848 S Rolling Rd
Catonsville, MD 21228
Phone (301) 527-1650

15245 Shady Grove Rd
Ste 130
Rockville, MD 20850
Phone (301) 527-1650

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

201 N Maple Ave
Unit 200
Purcellville, VA 20132
Phone (703) 662-5899

1806 Summit Ave
Richmond, VA 23230
Phone (804) 352-2487

Organizations & group practices 8

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1881169415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15962 PAYNES FARM DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201698189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAPLE AVE UNIT 200",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326102",
            "telephone_number": "703-662-5899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9909 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506361",
            "country_code": "US",
            "telephone_number": "240-554-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200032167",
            "country_code": "US",
            "telephone_number": "202-546-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONGAM",
        "first_name": "SYDONIE",
        "credential": "DNP, PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200143",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1035308",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "R200143",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.