Active NPI
Allison Solomon, PSY.D.
- Clinical Psychologist
- Gilbert, AZ
National Provider Identifier
1639211618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3968
- Practice address
- 1399 E Mia LN
Gilbert, AZ 85298-6834 - Phone
- (631) 403-0863
- Fax
- (480) 269-9104
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022536 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3968 | AZ | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3968 | AZ | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 022536 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 022536 | NY | |
| Health Psychologist | 103TH0004X | 3968 | AZ | |
| Clinical Psychologist | 103TC0700X | 3968 | AZ | Primary |
Addresses
Primary practice location
1399 E Mia LN
Gilbert, AZ 85298-6834
Mailing address
1399 E Mia LN
Gilbert, AZ 85298-6834
Phone (323) 356-1966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3968 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1639211618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1399 E MIA LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852986834",
"telephone_number": "323-356-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 E MIA LN",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852986834",
"telephone_number": "631-403-0863",
"fax_number": "480-269-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022536",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AZ",
"license": "3968",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "AZ",
"license": "3968",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "022536",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "022536",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "AZ",
"license": "3968",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.