Individual provider Active NPI

Irwin D Sollinger, PH.D.

  • Psychologist
  • Westport, CT
National Provider Identifier
1487877015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
466 Issued in CT
Practice address
102 Bayberry LN
Westport, CT 06880-4002
Phone
(203) 226-5987
Fax
(203) 454-9668
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 466 CT Primary

Addresses

Primary practice location

102 Bayberry LN
Westport, CT 06880-4002

Mailing address

102 Bayberry LN
Westport, CT 06880-4002
Phone (203) 226-5987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2013 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487877015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BAYBERRY LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804002",
            "telephone_number": "203-226-5987",
            "fax_number": "203-454-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BAYBERRY LN",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804002",
            "telephone_number": "203-226-5987",
            "fax_number": "203-454-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLINGER",
        "first_name": "IRWIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.