Jillian B Solomon

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

A0139 Issued in MD

Practice address

1511 Ritchie Hwy Ste 202
Arnold, MD 21012-2410

Phone

(410) 757-5184

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1598433286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 RITCHIE HWY STE 202",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122410",
            "telephone_number": "410-757-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 RITCHIE HWY STE 202",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122410",
            "telephone_number": "410-757-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "JILLIAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "A0139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "advancedmd.com",
            "affiliation": "N",
            "endpointDescription": "electronic health record online software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1511 Ritchie Hwy Ste 202",
            "city": "Arnold",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210122410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Russell Smith, RN., FNP
• Scott E Smith, LP
• Stacey Smith, LCSW
• Ann Honey Sober, RN
• Rene Cosme Soh Fongang
• David Michael Sortisio, DC
• Jenna N Sortisio, DC
• Mariaileen Sourwine, M.D.
• Special Beginnings Birth & Women'S Center, LLC
• Special Beginnings Birth & Women'S Center, LLC

• Clinical Psychologist in Arnold, MD
• Providers in Arnold, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.