Cynthia L Solliday, PH.D

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

2410-057 Issued in WI

Practice address

12802 W Hampton Ave
Butler, WI 53007-1606

Phone

(262) 327-6381

Fax

(262) 794-3146

NPI assigned

Sep 20, 2006

Last updated

Sep 11, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Mind Body Soulutions

  • Clinical Psychologist
  • Butler, WI
  • NPI 1932419413

  Health Service

  Medicare reassignment NPD Authorized official
• Ascension SE Wisconsin Hospital, Inc

  dba Ascension SE Wisconsin Hospital-Elmbrook Campus

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384
  NPD (past)
• The Bridge Health Clinics & Research Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1083932263
  NPD (past)
• Wheaton Franciscan Healthcare - Elmbrook Memorial, Inc.

  • General Acute Care Hospital
  • Brookfield, WI
  • NPI 1598714420
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1598862633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 W HAMPTON AVE",
            "city": "BUTLER",
            "state": "WI",
            "postal_code": "530071606",
            "telephone_number": "262-327-6381",
            "fax_number": "262-794-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 W HAMPTON AVE",
            "city": "BUTLER",
            "state": "WI",
            "postal_code": "530071606",
            "telephone_number": "262-327-6381",
            "fax_number": "262-794-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLIDAY",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "WI",
            "license": "2410-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39141100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Leaf Home Care, LLC
• Amy J Parent, APNP
• Jennifer Raeder, PHARMD
• Jason Rasoul
• Lauren N Solliday-McRoy, LMT
• Teresa Taylor
• Peter Thao
• Village of Butler
• Vitalguard Pharma
• Pang Vue

• Health Service Psychologist in Butler, WI
• Providers in Butler, WI by specialty
• Health Service Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.