Individual provider Active NPI

Carolyn T Sollitt, PH.D.

  • Clinical Psychologist
  • Long Beach, CA
National Provider Identifier
1609817550
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7555 Issued in CA
Practice address
6615 E Pacific Coast Hwy
Ste 225
Long Beach, CA 90803-4216
Phone
(562) 244-1609
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7555 CA Primary

Addresses

Primary practice location

6615 E Pacific Coast Hwy
Ste 225
Long Beach, CA 90803-4216

Mailing address

6615 E Pacific Coast Hwy
Ste 225
Long Beach, CA 90803-4216
Phone (562) 244-1609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060712000368 CA Practitioner - Clinical Psychologist 2062425176 Practice locations: Long Beach, CA; Los Alamitos, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6615 E Pacific Coast Hwy
Suite 225
Long Beach, CA 90803-4216
Phone (562) 244-1609

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ihle and Associates, Inc. Clinical PastSince Feb 26, 2017 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1609817550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "STE 225",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034216",
            "telephone_number": "562-244-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "STE 225",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034216",
            "telephone_number": "562-244-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLITT",
        "first_name": "CAROLYN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.