Individual provider Active NPI

Ira H Solomon, PH.D

  • Psychologist
  • Haverford, PA
National Provider Identifier
1578654737
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS003490-L Issued in PA
Practice address
5306 Parkview Dr
Haverford, PA 19041-2018
Phone
(610) 278-0877
Fax
(610) 278-6028
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS003490-L PA Primary

Addresses

Primary practice location

5306 Parkview Dr
Haverford, PA 19041-2018

Mailing address

PO Box 607
Villanova, PA 19085-0607
Phone (610) 278-0877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120613000400 PA Practitioner - Clinical Psychologist 7810154531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS003490-LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
I. M. Solomon, P.C. CurrentSince Dec 19, 1980 Accepting new patients

Locations

234 Mall Blvd
Ste 105
King of Prussia, PA 19406
Phone (610) 278-0877

1330 Powell St
Ste 501
Norristown, PA 19401
Phone (610) 278-0877

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1578654737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190850607",
            "telephone_number": "610-278-0877",
            "fax_number": "610-278-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 PARKVIEW DR",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190412018",
            "telephone_number": "610-278-0877",
            "fax_number": "610-278-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "IRA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003490-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverford, PA

Sources for this page

Verify at the official NPI Registry.