Individual provider Active NPI

Sonya D Mellerson, PHD, NCSP

  • School Psychologist
  • Falls Church, VA
National Provider Identifier
1902237837
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PPS-0604541 Issued in VA
Practice address
8115 Gatehouse Rd
Falls Church, VA 22042-1203
Phone
(571) 423-4102
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 70697 TX
School Psychologist 103TS0200X PPS-0604541 VA Primary

Addresses

Primary practice location

8115 Gatehouse Rd
Falls Church, VA 22042-1203

Mailing address

11410 Reston Station Blvd Apt 204
Reston, VA 20190-5387
Phone (803) 983-8236

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
70697TXMDSchool Psychologist
PPS-0604541VAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken County Public Schools School Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1902237837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 RESTON STATION BLVD APT 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905387",
            "telephone_number": "803-983-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 GATEHOUSE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421203",
            "telephone_number": "571-423-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLERSON",
        "first_name": "SONYA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "70697",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "PPS-0604541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.