Benitha Willeana Solomon

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

MG0564248 Issued in MI

Practice address

14190 St.Mary
Detroit, MI 48227

Phone

(586) 277-9900

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1598471716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14190 ST.MARY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48227",
            "telephone_number": "586-277-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14190 ST.MARY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48227",
            "telephone_number": "586-277-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "BENITHA",
        "middle_name": "WILLEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MI",
            "license": "MG0564248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solara Medical Supplies, LLC
• Julia Elizabeth Solecki
• Kelly Soley, L.M.S.W
• Eman Ali Sayed Salem Soliman, M.D.
• Wilma Ruth Solomon-Love, RN
• Jillian Rose Solomon
• Latava Solomon
• Leigh Ann Solomon, MD
• Noah Solomon, RN
• Octavia Solomon

• Health Service Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Health Service Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.