NPIMap

Organization Active NPI

Solace Behavioral Health, LLC

  • Psychiatry Physician
  • New Port Richey, FL
National Provider Identifier
1023609740
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SOLACE BEHAVIORAL HEALTH, LLC
Practice address
4800 Rowan Rd
New Port Richey, FL 34653-5609
Phone
(727) 483-5912
Fax
(727) 376-3652
NPI assigned
Jan 27, 2021
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Paige Gray
Title
Credentialing Specialist
Phone
(352) 678-5550

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4800 Rowan Rd
New Port Richey, FL 34653-5609

Mailing address

4800 Rowan Rd
New Port Richey, FL 34653-5609
Phone (727) 483-5912

Other practice location 1

17222 Hospital Blvd Ste 120
Brooksville, FL 34601-8906
Phone (352) 678-5550

Other practice location 2

5100 W Kennedy Blvd Ste 160
Tampa, FL 33609-1817
Phone (813) 935-4145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130116000145 FL Part B Supplier - Clinic/Group Practice 1254584667 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Port Richey, FL; Tampa, FL; Brooksville, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Solace Behavioral Health Psychiatric Substance Abuse Iop3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12200 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-4562

17222 Hospital Blvd
Ste 100
Brooksville, FL 34601

8449 Cobb Rd
Brooksville, FL 34601
Phone (352) 329-2400

1234 School St
Wilkesboro, NC 28697
Phone (336) 818-4411

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1023609740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535609",
            "telephone_number": "727-483-5912",
            "fax_number": "727-376-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535609",
            "telephone_number": "727-483-5912",
            "fax_number": "727-376-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17222 Hospital Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346018906",
            "country_code": "US",
            "telephone_number": "352-678-5550",
            "fax_number": "727-376-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 W Kennedy Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091817",
            "country_code": "US",
            "telephone_number": "813-935-4145",
            "fax_number": "813-935-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOLACE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "352-678-5550"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.