Organization Active NPI

Solin Psychological & Consultation Services LLC

  • Clinical Psychologist
  • Eagan, MN
National Provider Identifier
1851806855
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5907 Issued in MN
Legal business name
SOLIN PSYCHOLOGICAL & CONSULTATION SERVICES LLC
Practice address
4660 Slater Rd Ste 245C
Eagan, MN 55122-4047
Phone
(651) 757-7430
NPI assigned
Dec 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Jennifer Jean Solin, PSYD, LPNPI 1790053460
Title
Owner/Psychologist
Phone
(651) 757-7430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X LP5907 MN Primary

Addresses

Primary practice location

4660 Slater Rd Ste 245C
Eagan, MN 55122-4047

Mailing address

4252 Boulder Ridge PT
Eagan, MN 55122-1899
Phone (651) 757-7430

Other names 1

  • SPCS Other name

National Provider Directory

National Provider Directory

Locations

4660 Slater Rd
Ste 245C
Eagan, MN 55122
Phone (612) 963-7027

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": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1851806855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 BOULDER RIDGE PT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221899",
            "telephone_number": "651-757-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SLATER RD STE 245C",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224047",
            "telephone_number": "651-757-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIN PSYCHOLOGICAL & CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SOLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "651-757-7430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.