Organization Active NPI

Solenus

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1619637618
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOLENUS
Practice address
1500 Shallcross Ave Ste 1a
Wilmington, DE 19806-3037
Phone
(302) 200-5080
NPI assigned
Dec 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Jean J Pantal
Title
Owner
Phone
(302) 200-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1500 Shallcross Ave Ste 1a
Wilmington, DE 19806-3037

Mailing address

1500 Shallcross Ave Ste 1a
Wilmington, DE 19806-3037
Phone (302) 302-5080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1619637618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE STE 1A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "302-302-5080",
            "fax_number": "302-202-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SHALLCROSS AVE STE 1A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063037",
            "telephone_number": "302-200-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLENUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-19",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "PANTAL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-200-5080"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.