DR. LISA BLACK SOLOMON (NPI# 1215928858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215928858 |
| Entity Type | Individual |
| Full Name | DR. LISA BLACK SOLOMON |
| Credential | PHD |
| Practice Address |
73 High St Ctn Charlestown MA 02129-3026 |
| Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
| Practice Telephone | 6177249309 |
| Practice Fax Number | 6177263514 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6764 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | W50647 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780158 | Lisa Solomon | Social Worker | 45 Kendall St, Brookline, MA 02445-7549 | 2020-08-10 |
| 1578012902 | Lisa Solomon | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2016-09-27 |
| 1891000675 | Lisa Solomon | Counselor | 1 Fenn St, Administrative Offices, Pittsfield, MA 01201-6278 | 2010-08-17 |
| 1114182698 | Lisa P Solomon | Anesthesiology | 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 | 2008-07-23 |
| 1619044484 | Lisa J Solomon | Advanced Practice Midwife | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1851490452 | Lisa Simone Solomon | Social Worker | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-09-21 |
| Street Address |
73 HIGH ST CTN |
| City | CHARLESTOWN |
| State | MA |
| Zip Code | 02129-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950559 | Jon C. Hagan | Physical Therapist | 73 High St, Charlestown, MA 02129-3026 | 2005-08-24 |
| 1174130330 | Jorge Cardona | Social Worker | 73 High St, Charlestown, MA 02129-3026 | 2020-09-30 |
| 1982226213 | Michael Di Bianca | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2020-05-08 |
| 1609496199 | Whitney J Erby | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2020-04-24 |
| 1588207021 | Eliza Abdu-glass | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2019-10-28 |
| 1730730433 | Haley Rose Jordan | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2019-09-24 |
| 1700356375 | Catharine Cornelia Downs | Student in an Organized Health Care Education/Training Program | 73 High St, Charlestown, MA 02129-3026 | 2018-11-27 |
| 1538651138 | Ellen R Gutowski | Student in an Organized Health Care Education/Training Program | 73 High St, Mgh Charlestown Health Ctr, Charlestown, MA 02129-3026 | 2018-05-31 |
| 1447742044 | Despina Petsagourakis | Student in an Organized Health Care Education/Training Program | 73 High St, Mgh Charlestown Healthcare Center, Charlestown, MA 02129-3026 | 2018-05-31 |
| 1548775240 | Sarah Elizabeth Kilduff | Counselor | 73 High St, Charlestown, MA 02129-3026 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1033738489 | Boston Health & Wellness, LLC | Physical Therapist | 250 First Aveneue, #506, Charlestown, MA 02129 | 2020-04-15 |
| 1134693534 | Martavia Richardson | Behavior Technician | 25 Samuel Morse Way Apt 862, 862, Charlestown, MA 02129 | 2019-01-18 |
| 1669940847 | Erika Marie Lundgren | Social Worker | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-11-06 |
| 1558845602 | Christopher Wayne Manzano | Specialist/Technologist | 1 Constitution Wharf, Suite 140, Charlestown, MA 02129 | 2018-09-24 |
| 1023503216 | Justin E Karr | Student in an Organized Health Care Education/Training Program | 79/96 Thirteenth Street, Mgh Charlestown, Charlestown, MA 02129 | 2018-06-29 |
| 1184140162 | Hakan Ay | Psychiatry & Neurology | Mass General Hospital, 13th Street, Building 149-2303, Charlestown, MA 02129 | 2017-08-21 |
| 1396271748 | Acra Care and Recovery Associates, LLC | Clinic/Center | 529 Main Street, Suite 217, The Schraffts Building, Power House, Charlestown, MA 02129 | 2017-05-04 |
| 1003267964 | Allison E White | Student in an Organized Health Care Education/Training Program | Mgh Charlestown Health Ctr, 73 High St, Charlestown, MA 02129 | 2016-06-22 |
| 1588025258 | Adrienne Senneville | Physical Therapist | 529 Main St., Charlestown, MA 02129 | 2016-03-09 |
| Find all providers in zip 02129 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933672 | Donald Scott Mcleod | Psychologist | 73 High St Ctn, Charlestown Healthcare Center, Charlestown, MA 02129-3096 | 2005-12-20 |
| 1285287573 | Gabrielle Groth Hoover | Psychologist | 1 Constitution Plz, Charlestown, MA 02129-2025 | 2019-07-17 |
| 1508428962 | Brian W Macone | Psychologist | 1 Constitution Plz, Home Base Program, Charlestown, MA 02129-2025 | 2019-07-05 |
| 1881149946 | Douglas Terry | Psychologist | 300 1st Ave, Charlestown, MA 02129 | 2016-08-18 |
| 1841699576 | Jessica Geragosian | Psychologist | 8 Wall St, #2, Charlestown, MA 02129-1813 | 2014-08-19 |
| 1598935298 | Jeanne Ellen Allen | Psychologist | 110 Mordington Avenue, Jefferson County Board of Education, Charlestown, WV 25414 | 2008-03-10 |
| 1063439008 | Edelmira Kruger | Psychologist | 73 High St, Mgh Charlestown Health Center Ctn, Charlestown, MA 02129 | 2006-07-16 |
| 1699743971 | Florence Anne Farrell | Psychologist | 73 High St, Room 318 Mgh Charlestown Healthcare Center, Charlestown, MA 02129 | 2006-03-10 |
| 1518958263 | Joseph A Whitehorn | Psychologist | 73 High St, Charlestown Health Care Center Ctn, Charlestown, MA 02129-3096 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162798 | Psychological Transformation | Psychologist | 348 Cambridge Rd # 115, Woburn, MA 01801-6037 | 2020-10-19 |
| 1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
| 1982210480 | Aaron Rezendes Psyd LLC | Psychologist | 38 Dow St, Framingham, MA 01702-7220 | 2020-09-20 |
| 1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
| 1821601568 | Dr. Chelsea Levy Licensed Psychologist LLC | Psychologist | 203 Spring St, Medford, MA 02155-2814 | 2020-08-24 |
| 1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
| 1285242123 | Ruth Brim Balser | Psychologist | 36 Audubon Dr, Chestnut Hill, MA 02467-2621 | 2020-07-16 |
| 1952929184 | Sarah Joanna Schoffstall | Psychologist | 32 Hastings St, Framingham, MA 01701-7954 | 2020-07-14 |
| 1225655871 | Sasha Fleary | Psychologist | 28 Walter St, Hyde Park, MA 02136-2973 | 2020-06-30 |
| 1760008635 | Katherine Renda Florek | Psychologist | 2 Collins Rd, Hingham, MA 02043-2017 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTOWN |
| Zip Code | 02129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.