Main Line Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-006305-L Issued in PA

Legal business name

MAIN LINE PSYCHOLOGICAL SERVICES

Practice address

300 E Lancaster Ave Ste 306B
Wynnewood, PA 19096-2106

Phone

(610) 649-2956

NPI assigned

Jan 12, 2010

Last updated

Jan 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dena Solomon, PH.D.NPI 1497804298

Title

Clinical Director

Phone

(610) 649-2956

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Dena Solomon, PH.D.

  • Psychologist
  • Wynnewood, PA
  • NPI 1497804298
  NPD (past) Authorized official
• Kathleen Ellen Frye, MSW LSW

  • Clinical Social Worker
  • Wynnewood, PA
  • NPI 1396867982
  NPD (past)

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1801126990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 WINSTON RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351251",
            "telephone_number": "610-649-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE STE 306B",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962106",
            "telephone_number": "610-649-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "610-649-2956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-006305-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.