Active NPI
Martinn Solomon
- Behavior Analyst
- North Las Vegas, NV
National Provider Identifier
1366798241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- E3172673
- Practice address
- 3435 W Craig Rd
Ste. a
North Las Vegas, NV 89032-5115 - Phone
- (702) 750-0377
- Fax
- (702) 538-7928
- NPI assigned
- Jul 30, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E3172673 | CA | |
| Behavior Analyst | 103K00000X | E3172673 | CA | Primary |
Addresses
Primary practice location
3435 W Craig Rd
Ste. a
North Las Vegas, NV 89032-5115
Mailing address
3435 W Craig Rd
Ste a
North Las Vegas, NV 89032-5115
Phone (702) 750-0377
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 |
|---|---|---|---|
| E3172673 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1366798241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 W CRAIG RD",
"address_2": "STE A",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890325115",
"telephone_number": "702-750-0377",
"fax_number": "702-538-7928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 W CRAIG RD",
"address_2": "STE. A",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890325115",
"telephone_number": "702-750-0377",
"fax_number": "702-538-7928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "MARTINN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-30",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "E3172673",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "E3172673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.