Solomon Katz, ED.D.
Individual provider Active NPI Psychologist · Harvard, MA
NPI 1386745271 · NPPES record last updated Apr 22, 2022
Key facts
- NPI
- 1386745271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 5020 (MA)
- Practice address
- 84 Tahanto TRL
Harvard, MA 01451-1630 - Phone
- (978) 345-7705
- Fax
- (978) 456-9130
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
84 Tahanto TRL
Harvard, MA 01451-1630
Phone (978) 345-7705
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120409000351 | MA | Practitioner - Clinical Psychologist | 8022279660 | Practice locations: Harvard, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5020 | MA | Yes |
Addresses
Primary practice location
84 Tahanto TRL
Harvard, MA 01451-1630
Mailing address
84 Tahanto TRL
Harvard, MA 01451-1630
Phone (978) 345-7705
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0520322 | Medicaid | MA | |
| 719791 | Other | MA | TUFTS HEALTH PLANS |
| 96685101 | Medicaid | MA | |
| 062871000 | Other | MAGELLAN | |
| W04729 | Other | MA | BLUE CROSS BLUE SHIELD |
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All providers in Harvard, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.