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SAMUEL BRADY SONDALLE MD, PHD
NPI 1114547189
Psychiatry & Neurology - Psychiatry in New Haven, CT

Active since April 20, 2020Opted out of Medicare · through Mar 2, 2028
291 WHITNEY AVE STE 103, NEW HAVEN, CT 06511(475) 455-3351(203) 713-5783 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 28, 2025, Apr 22, 2024, Apr 21, 2020 (3 updates tracked since 2020).

About Samuel Brady Sondalle Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL BRADY SONDALLE MD, PHD (NPI 1114547189) is an individual psychiatry provider in New Haven, Connecticut, licensed in Connecticut (71876) and active in the NPI registry since April 2020. He has opted out of Medicare through March 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114547189
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSAMUEL BRADY SONDALLECredential: MD, PHD
Location Address291 WHITNEY AVE STE 103New Haven, CT 06511-3700
Mailing Address291 Whitney Ave Ste 103New Haven, CT 06511-3700 · (475) 455-3351 · Fax (203) 713-5783
Phone(475) 455-3351
Fax(203) 713-5783
Sole ProprietorYes
Enumeration DateApril 20, 2020
Last NPPES UpdateFebruary 13, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1114547189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CT · 71876
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
291 WHITNEY AVE STE 103, New Haven, CT 06511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Samuel Brady Sondalle Md, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 2, 2026 through March 2, 2028.

Opt-Out Effective DateMarch 2, 2026
Opt-Out In Effect ThroughMarch 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL ANNE DEDIOS-KENN L.C.S.W.
Social Worker (Clinical)
291 WHITNEY AVE STE 103
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 675-3440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Sondalle's NPI number?

The NPI number for Samuel Sondalle is 1114547189. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Samuel Sondalle located?

Samuel Sondalle practices at 291 Whitney Ave Ste 103, New Haven, CT 06511. The listed phone number is (475) 455-3351.

What is Samuel Sondalle's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Sondalle enrolled in Medicare?

No. Samuel Sondalle has opted out of Medicare through March 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Samuel Sondalle accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Samuel Sondalle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Sondalle was last updated on February 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.