NPIMap

Organization Active NPI

Sol Psychology PLLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1336882596
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SOL PSYCHOLOGY PLLC
Doing business as
SOL PSYCHOLOGY PLLC
Practice address
175 N Harbor Dr Apt 1903
Chicago, IL 60601-7360
Phone
(312) 508-9919
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Poneh Kazemsoltani, PSY.D , MANPI 1205579745
Title
Clinical Psychologist
Phone
(312) 508-9919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

175 N Harbor Dr Apt 1903
Chicago, IL 60601-7360

Mailing address

175 N Harbor Dr Apt 1903
Chicago, IL 60601-7360
Phone (312) 508-9919

Other names 1

  • SOL PSYCHOLOGY PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1336882596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N HARBOR DR APT 1903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017360",
            "telephone_number": "312-508-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N HARBOR DR APT 1903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017360",
            "telephone_number": "312-508-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "KAZEMSOLTANI",
        "authorized_official_first_name": "PONEH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-508-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D , MA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOL PSYCHOLOGY PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.