Individual provider Active NPI

Phyllis C. Solon, PSY.D.

  • Clinical Psychologist
  • Minneapolis, MN
National Provider Identifier
1558448134
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP3479 Issued in MN
Practice address
118 E 26TH St
302C
Minneapolis, MN 55404-4359
Phone
(612) 309-7902
Fax
(612) 870-8944
NPI assigned
Nov 1, 2006
Sex
Female
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
Clinical Psychologist 103TC0700X LP3479 MN Primary

Addresses

Primary practice location

118 E 26TH St
302C
Minneapolis, MN 55404-4359

Mailing address

118 E 26TH St
302C
Minneapolis, MN 55404-4359
Phone (612) 309-7902

Other identifiers 1

IdentifierTypeStateIssuer
733825200OtherMNMEDICAL ASSISTANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070102000038 MN Practitioner - Clinical Psychologist 1153321989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Counseling, PLLC CurrentSince Jan 22, 2024 Accepting new patients
Cedar Hill Therapy, LLC Past Accepting new patients

Locations

275 4th St E
Ste 301
Saint Paul, MN 55101
Phone (651) 318-0109

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558448134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E 26TH ST",
            "address_2": "302C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044359",
            "telephone_number": "612-309-7902",
            "fax_number": "612-870-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 26TH ST",
            "address_2": "302C",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044359",
            "telephone_number": "612-309-7902",
            "fax_number": "612-870-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLON",
        "first_name": "PHYLLIS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "733825200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.