Active NPI
Jeffry Solomon, PSY.D.
- Psychologist
- New York, NY
National Provider Identifier
1467619478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 017590-1
- Practice address
- 219 W 81St St
3A
New York, NY 10024-5808 - Phone
- (917) 399-6907
- NPI assigned
- May 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017590-1 | NY | Primary |
Addresses
Primary practice location
219 W 81St St
3A
New York, NY 10024-5808
Mailing address
219 W 81St St
3A
New York, NY 10024-5808
Phone (917) 399-6907
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017590-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1467619478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 W 81ST ST",
"address_2": "3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245808",
"telephone_number": "917-399-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 W 81ST ST",
"address_2": "3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245808",
"telephone_number": "917-399-6907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "JEFFRY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017590-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.