Active NPI
Sonal Jagasia, MD
- Psychiatry Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101256643
- Practice address
- 2220 Cedar LN Ste 100
Vienna, VA 22182-5251 - Phone
- (571) 368-6654
- Fax
- (571) 368-6656
- NPI assigned
- Apr 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD042640 | DC | |
| Psychiatry Physician | 2084P0800X | 0101256643 | VA | Primary |
Addresses
Primary practice location
2220 Cedar LN Ste 100
Vienna, VA 22182-5251
Mailing address
2220 Cedar LN Ste 100
Vienna, VA 22182-5251
Phone (571) 368-6654
Other practice location 1
3925 Blenheim Blvd Ste 52A
Fairfax, VA 22030-2426
Phone (571) 368-6654
Other practice location 2
3007 Barkley Gate Ln
Fairfax, VA 22031-1462
Phone (317) 730-4617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Arkansas College of Medicine, 2010
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3925 Blenheim Blvd
Suite 52a
Fairfax, VA 22030-2426
Phone (571) 368-6654
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD042640 | DC | MD | Psychiatry Physician |
| 0101256643 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldad Medical PC | Single Specialty | Current | Accepting new patients |
| Mantra Mental Health PLLC | Current | Accepting new patients |
Locations
159 N Sangamon St
Ste 200300
Chicago, IL 60607
Phone (872) 246-7320
510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051
3925 Blenheim Blvd
Ste 52A
Fairfax, VA 22030
Phone (571) 368-6654
Networks
- HealthSun Health Plans Network
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Fairfax, VA
- NPI 1285474163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1912223306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 CEDAR LN STE 100",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825251",
"telephone_number": "571-368-6654",
"fax_number": "571-368-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 CEDAR LN STE 100",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825251",
"telephone_number": "571-368-6654",
"fax_number": "571-368-6656"
}
],
"practiceLocations": [
{
"address_1": "3925 Blenheim Blvd Ste 52A",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220302426",
"country_code": "US",
"telephone_number": "571-368-6654",
"fax_number": "571-368-6656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3007 Barkley Gate Ln",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220311462",
"country_code": "US",
"telephone_number": "317-730-4617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAGASIA",
"first_name": "SONAL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD042640",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101256643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.