Organization Active NPI

Eli Solomon, Psy.D., P.C.

  • Clinical Psychologist
  • Athens, GA
National Provider Identifier
1770798324
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY002814 Issued in GA
Legal business name
ELI SOLOMON, PSY.D., P.C.
Practice address
485 Huntington Rd
Suite 201
Athens, GA 30606-1861
Phone
(706) 546-8440
Fax
(706) 546-8456
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eli Matthew Solomon, PSY.D.NPI 1295799542
Title
Psychologist
Phone
(706) 546-8440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY002814 GA Primary

Addresses

Primary practice location

485 Huntington Rd
Suite 201
Athens, GA 30606-1861

Mailing address

485 Huntington Rd
Suite 201
Athens, GA 30606-1861
Phone (706) 546-8440

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770798324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE 201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-546-8440",
            "fax_number": "706-546-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD",
            "address_2": "SUITE 201",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061861",
            "telephone_number": "706-546-8440",
            "fax_number": "706-546-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI SOLOMON, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "706-546-8440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.