Individual provider Active NPI

Ingrid Ann Solano, PHD

  • Clinical Psychologist
  • West Hollywood, CA
National Provider Identifier
1871167825
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32592 Issued in CA
Practice address
1041 N Formosa Ave
Writers Building #310
West Hollywood, CA 90046-5468
Phone
(212) 375-6668
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 32592 CA Primary

Addresses

Primary practice location

1041 N Formosa Ave
Writers Building #310
West Hollywood, CA 90046-5468

Mailing address

PO Box 401
Los Angeles, CA 90078-0401
Phone (212) 375-6668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 29, 2025 through May 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32592CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Relational Alchemy a Professional Corporation Clinical CurrentSince Apr 27, 2025 Accepting new patients

Locations

1041 N Formosa Ave
Bldg 310
West Hollywood, CA 90046
Phone (212) 375-6668

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1871167825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900780401",
            "telephone_number": "212-375-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N FORMOSA AVE",
            "address_2": "WRITERS BUILDING #310",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465468",
            "telephone_number": "212-375-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANO",
        "first_name": "INGRID",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "32592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.