Organization Active NPI

Sol Psychotherapy LLC

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1679279673
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOL PSYCHOTHERAPY LLC
Practice address
44 Ferris Ave Apt 1C
Norwalk, CT 06854-1571
Phone
(203) 570-2702
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Miss Ingrid S PastenNPI 1487131538
Title
LCSW
Phone
(203) 570-2702

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 Primary

Addresses

Primary practice location

44 Ferris Ave Apt 1C
Norwalk, CT 06854-1571

Mailing address

44 Ferris Ave Apt 1C
Norwalk, CT 06854-1571
Phone (203) 570-2702

Other identifiers 1

IdentifierTypeStateIssuer
1487131538MedicaidCT

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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1679279673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FERRIS AVE APT 1C",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541571",
            "telephone_number": "203-570-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 FERRIS AVE APT 1C",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541571",
            "telephone_number": "203-570-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "PASTEN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "203-570-2702",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487131538",
            "state": "CT"
        }
    ],
    "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 Feb 1, 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.