Individual provider Active NPI

Deborah Brotman Solomon, PSY.D.

  • Clinical Psychologist
  • Chelmsford, MA
National Provider Identifier
1801993423
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6991 Issued in MA
Practice address
2 Meeting House Rd Ste 2
Chelmsford, MA 01824-2881
Phone
(978) 337-1458
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6991 MA Primary

Addresses

Primary practice location

2 Meeting House Rd Ste 2
Chelmsford, MA 01824-2881

Mailing address

39 Simon St Ste 5
Nashua, NH 03060-3045
Phone (978) 337-1458

Other identifiers 1

IdentifierTypeStateIssuer
30422279MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040227000604 MA Practitioner - Clinical Psychologist 5294621959 Practice locations: Chelmsford, MA
I20120522001010 NH Practitioner - Clinical Psychologist 5294621959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Meeting House Rd
Suite 2
Chelmsford, MA 01824-2881
Phone (978) 337-1458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lamora Psychological Associates, P.a. Clinical CurrentSince Jul 15, 2002 Accepting new patients
Jean Green Past Accepting new patients

Locations

39 Simon St
Ste 5
Nashua, NH 03060
Phone (603) 598-5400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1801993423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIMON ST STE 5",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603045",
            "telephone_number": "978-337-1458",
            "fax_number": "603-882-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEETING HOUSE RD STE 2",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242881",
            "telephone_number": "978-337-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "DEBORAH",
        "middle_name": "BROTMAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422279",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.