Organization Active NPI

Soll Behavioral Health LLC

  • Psychologist
  • Joliet, IL
National Provider Identifier
1639725773
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SOLL BEHAVIORAL HEALTH LLC
Practice address
310 N Hammes Ave Ste LL5
Joliet, IL 60435-8147
Phone
(319) 541-7420
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Dr. Samantha Olivia Soll, PSY.D.NPI 1578949251
Title
Director
Phone
(319) 541-7420

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
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

310 N Hammes Ave Ste LL5
Joliet, IL 60435-8147

Mailing address

5344 N Paulina St Apt 3F
Chicago, IL 60640-2035
Phone (319) 541-7420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1639725773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 N PAULINA ST APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402035",
            "telephone_number": "319-541-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE STE LL5",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358147",
            "telephone_number": "319-541-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLL BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "SOLL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "OLIVIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-541-7420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.