1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Nurse Practitioner
  6. NPI Profile

SOLACE GROVE PSYCHIATRY PLLC
NPI 1851249486
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Active since March 19, 2026
11350 RANDOM HILLS RD STE 856, FAIRFAX, VA 22030(240) 554-7071 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Solace Grove Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOLACE GROVE PSYCHIATRY PLLC (NPI 1851249486) is a healthcare organization registered as a psychiatric/mental health in Fairfax, Virginia and active in the NPI registry since March 2026. The organization lists Sydonie Bongam, Provider (rendering Provider), as its authorized official.

NPPES Registry Identity

NPI1851249486
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOLACE GROVE PSYCHIATRY PLLC
Location Address11350 RANDOM HILLS RD STE 856Fairfax, VA 22030-6044
Mailing Address11350 Random Hills Rd Ste 856Fairfax, VA 22030-6044
Phone(240) 554-7071
Organization SubpartNo
Authorized OfficialSydonie BongamProvider (rendering Provider) · (240) 554-7071
Enumeration DateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1851249486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
11350 RANDOM HILLS RD STE 856, Fairfax, VA 22030
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Solace Grove Psychiatry PLLC's NPI number?

The NPI number for Solace Grove Psychiatry PLLC is 1851249486. It was assigned to this organization in the NPPES registry on March 19, 2026.

Where is Solace Grove Psychiatry PLLC located?

Solace Grove Psychiatry PLLC is located at 11350 Random Hills Rd Ste 856, Fairfax, VA 22030. The listed phone number is (240) 554-7071.

What is Solace Grove Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Solace Grove Psychiatry PLLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.