Active NPI
Solomon Weaver, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1306388970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 407813
- Practice address
- 114 5TH Ave FL 2
New York, NY 10011-5611 - Phone
- (646) 942-7828
- NPI assigned
- Nov 14, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR16679700 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407813 | NY | Primary |
Addresses
Primary practice location
114 5TH Ave FL 2
New York, NY 10011-5611
Mailing address
1885 Hylan Blvd # 1143
Staten Island, NY 10305-2110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR16679700 | NJ | MD | Registered Nurse |
| 407813 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven Reef Nurse Practitioner in Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
114 5th Ave
Fl 2
New York, NY 10011
Phone (347) 871-3447
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1982557773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771632000000",
"number": "1306388970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 HYLAN BLVD # 1143",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103052110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 5TH AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115611",
"telephone_number": "646-942-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "SOLOMON",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-14",
"last_updated": "2026-02-21",
"certification_date": "2026-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR16679700",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "407813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.