Ilene Solomon, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

007857 Issued in NY

Practice address

74 Shrub Hollow Rd
Roslyn, NY 11576-3110

Phone

(516) 747-8583

Fax

(516) 747-8583

NPI assigned

Jun 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457557522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SHRUB HOLLOW RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763110",
            "telephone_number": "516-747-8583",
            "fax_number": "516-747-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 SHRUB HOLLOW RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763110",
            "telephone_number": "516-747-8583",
            "fax_number": "516-747-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ILENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Selverstone Slade, LCSW
• Kerrion Smith, ACNPC-AG
• Robert Smith, P.A.
• Benjamin Alex Solomon
• Haylee Alexa Solomon, DPT
• Soma Fit Physical Therapy PLLC
• Sujin Son, PA-C
• Parviz Soomekh, M.D.
• Martine Amy Soren, SW INTERN
• Marlene Sotelo-Dynega, PSY.D.

• Psychologist in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.