Organization Active NPI

Mark and Carol Solomon PTR

Doing business as Therapyworks

  • Clinical Psychologist
  • Libertyville, IL
National Provider Identifier
1740300672
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARK AND CAROL SOLOMON PTR
Doing business as
Therapyworks
Practice address
128 Newberry Ave
Libertyville, IL 60048-1923
Phone
(847) 680-0272
Fax
(847) 360-1615
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Dr. Mark Solomon, PSY.D.
Title
Clinical Psychologist
Phone
(847) 680-0272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

128 Newberry Ave
Libertyville, IL 60048-1923

Mailing address

128 Newberry Ave
Libertyville, IL 60048-1923
Phone (847) 680-0272

Other names 1

  • Therapyworks Doing business as

National Provider Directory

National Provider Directory

Locations

128 Newberry Ave
Libertyville, IL 60048
Phone (708) 788-3447

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1740300672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NEWBERRY AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481923",
            "telephone_number": "847-680-0272",
            "fax_number": "847-360-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NEWBERRY AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481923",
            "telephone_number": "847-680-0272",
            "fax_number": "847-360-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK AND CAROL SOLOMON PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-680-0272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapyworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.