Zaniyah Kailanii Solis-Fearon, PSYCHOTHERAPY

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Practice address

520 W 56TH St Apt 13K
New York City, NY 10019-3539

Phone

(201) 606-3005

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Dr. Kailanii Solis-Fearon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1427708320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 56TH ST APT 13K",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100193539",
            "telephone_number": "201-606-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 56TH ST APT 13K",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100193539",
            "telephone_number": "201-606-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS-FEARON",
        "first_name": "ZANIYAH",
        "middle_name": "KAILANII",
        "name_prefix": "Dr.",
        "credential": "PSYCHOTHERAPY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "742335348-00",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILANII",
            "last_name": "SOLIS-FEARON",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shivani Shrestha, MD
• Tushar Shukla
• Saima Haleem Siddiqui, M.D.
• Alice Jo Siegel, MD
• Chong Yu Edwin SNG, MBBS
• Chung Yong Song, OD
• Carol Spero, LCSW
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
• Hannah Murray Starobin, LCSW-R
• Michele Lynn Stead, PHYSICIAN ASSISTANT

• Group Psychotherapy Psychologist in New York City, NY
• Providers in New York City, NY by specialty
• Group Psychotherapy Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.