Individual provider Active NPI

Linda Jane Solie, PHD

  • Psychologist
  • St Louis Park, MN
National Provider Identifier
1922147040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP0317 Issued in MN
Practice address
5775 Wayzeta Blvd
Suite 700
St Louis Park, MN 55416-1233
Phone
(952) 525-2210
Fax
(952) 797-9055
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP0317 MN Primary

Addresses

Primary practice location

5775 Wayzeta Blvd
Suite 700
St Louis Park, MN 55416-1233

Mailing address

5775 Wayzeta Blvd
Suite 700
St Louis Park, MN 55416-1233
Phone (952) 525-2210

Other identifiers 3

IdentifierTypeStateIssuer
986130922001OtherPREFERRED ONE IN MN
ON521SOOtherBC BS OF MINNESOTA INDIVI
56159SOOtherBC BS OF MINNESOTA GROUP

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 Feb 25, 2017 through Feb 25, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP0317MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922147040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZETA BLVD",
            "address_2": "SUITE 700",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161233",
            "telephone_number": "952-525-2210",
            "fax_number": "952-797-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZETA BLVD",
            "address_2": "SUITE 700",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161233",
            "telephone_number": "952-525-2210",
            "fax_number": "952-797-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIE",
        "first_name": "LINDA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE IN MN",
            "identifier": "986130922001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MINNESOTA INDIVI",
            "identifier": "ON521SO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MINNESOTA GROUP",
            "identifier": "56159SO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.