Daham Raul Sol, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018065 Issued in MI

Practice address

600 E Broadway St Ste 107
Mount Pleasant, MI 48858-2776

Phone

(989) 824-6565

Fax

(833) 647-2020

NPI assigned

Aug 6, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dahamsara Randima Suraweera Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meaningful Change Clinical and Consultation Psychology PLLCGroup PAC ID 0941618169, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Meaningful Change: Clinical & Consultation Psychology, PLLC

  • Clinical Psychologist
  • Mt Pleasant, MI
  • NPI 1881292076
  Medicare reassignment Care Compare group NPD Authorized official
• Ronan Psychological Associates, LLC

  • Clinical Psychologist
  • Mt Pleasant, MI
  • NPI 1306905625
  Medicare reassignment

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1356773923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E BROADWAY ST STE 107",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582776",
            "telephone_number": "989-824-6565",
            "fax_number": "833-647-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BROADWAY ST STE 107",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582776",
            "telephone_number": "989-824-6565",
            "fax_number": "833-647-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S University Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488582527",
            "country_code": "US",
            "telephone_number": "989-779-8999",
            "fax_number": "989-779-2219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOL",
        "first_name": "DAHAM",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAHAMSARA",
            "last_name": "SURAWEERA",
            "middle_name": "RANDIMA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Christan Smock
• Megan Ann Snow, A.T.C.
• Amanda Snyder
• Lea A Sobrilsky
• Jennifer Soeltner, PT, DPT
• Erin Sol, PA-C
• Mohammed Ali Soliman, MD
• Andy Paul Sovis, M.S.W
• Sparrow Carson Hospital (University of Michigan Health-Sparrow)
• Sparrow Community Care (Sparrow Medical Supply)

• Clinical Psychologist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.