Organization Active NPI

Mel a. Solis Inc.

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1669606174
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002238 Issued in CT
Legal business name
MEL A. SOLIS INC.
Practice address
166 East Ave Ste 101
Norwalk, CT 06851-5731
Phone
(203) 642-4968
Fax
(203) 846-0799
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Mr. Mel A Solis, LCSWNPI 1437148376
Title
President
Phone
(203) 642-4968

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 Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 002238 CT Primary

Addresses

Primary practice location

166 East Ave Ste 101
Norwalk, CT 06851-5731

Mailing address

166 East Ave Ste 101
Norwalk, CT 06851-5731
Phone (203) 642-4968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091118000477 CT Part B Supplier - Clinic/Group Practice 0244378859 Receives reassigned benefits from 1 practitioner
Practice locations: Westport, CT

National Provider Directory

National Provider Directory

Locations

166 East Ave
Ste 101
Norwalk, CT 06851
Phone (203) 536-0553

83 East Ave
Ste 109
Norwalk, CT 06851
Phone (203) 642-4968

Practitioners & affiliated clinicians

Practitioners 2

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": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1669606174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 EAST AVE STE 101",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515731",
            "telephone_number": "203-642-4968",
            "fax_number": "203-846-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 EAST AVE STE 101",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515731",
            "telephone_number": "203-642-4968",
            "fax_number": "203-846-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL A. SOLIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "MEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-642-4968",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.