Organization Active NPI

I. M. Solomon, P.C.

Doing business as Montgomery Psychology Associates

  • Clinical Psychologist
  • Haverford, PA
National Provider Identifier
1609040096
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PA 003490L Issued in PA
Legal business name
I. M. SOLOMON, P.C.
Doing business as
Montgomery Psychology Associates
Practice address
5306 Parkview Dr
Haverford, PA 19041-2018
Phone
(610) 278-0877
Fax
(610) 278-6028
NPI assigned
Apr 16, 2008
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Dr. Ira SolomonNPI 1578654737
Title
President
Phone
(610) 278-0877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PA 003490L 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

Other names 1

  • Montgomery Psychology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000719 PA Part B Supplier - Clinic/Group Practice 3072770783 Receives reassigned benefits from 1 practitioner
Practice locations: Haverford, PA

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1609040096",
    "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": {
        "organization_name": "I. M. SOLOMON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-278-0877",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PA 003490L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Psychology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montgomery Psychology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haverford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.