Healthcare Provider Details

I. General information

NPI: 1922833912
Provider Name (Legal Business Name): DR. JAGDISH K. SONI PSYCHOLOGICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 1ST ST
NAPA CA
94559-2841
US

IV. Provider business mailing address

4225 SOLANO AVE # 538
NAPA CA
94558-1611
US

V. Phone/Fax

Practice location:
  • Phone: 707-200-8225
  • Fax: 700-222-3335
Mailing address:
  • Phone: 707-200-8225
  • Fax: 707-222-3555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAGDISH K SONI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PH.D
Phone: 707-200-8225