Gyoen G Soggin, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002618 Issued in VA

Practice address

6723 Whittier Ave Ste 207
MC Lean, VA 22101-4544

Phone

(571) 353-5110

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1972099372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 WHITTIER AVE STE 207",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014544",
            "telephone_number": "571-353-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 WHITTIER AVE STE 207",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014544",
            "telephone_number": "571-353-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOGGIN",
        "first_name": "GYOEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Paul Sniezek, DC, MD, FAAIM
• Matthew Sniezek
• Brownrigg Jones Snow, SLP
• Suzanne Marie Snyder
• Jamie M So, DPT
• Akbar Soliev, MD, PHD
• Briana M Solley
• Somatus Medical Group, P.C.
• Somatus Medical Holdings, PC
• Somatus Whole Care Center of Florida, LLC

• Clinical Psychologist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.