Active NPI
Robert Solley, PH.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1811109820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 13105
- Practice address
- 1701 Church St
San Francisco, CA 94131-2412 - Phone
- (415) 550-8725
- NPI assigned
- May 3, 2007
- Last updated
- Oct 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 13105 | CA | Primary |
Addresses
Primary practice location
1701 Church St
San Francisco, CA 94131-2412
Mailing address
320 Fair Oaks St
San Francisco, CA 94110-3617
Phone (415) 695-2704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13105 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1811109820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 FAIR OAKS ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103617",
"telephone_number": "415-695-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CHURCH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312412",
"telephone_number": "415-550-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLLEY",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "13105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.