Neurosolace Behavioral Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NEUROSOLACE BEHAVIORAL HEALTH

Practice address

7375 Executive PL Ste 1074
Lanham, MD 20706-2278

Phone

(301) 396-7713

Fax

(301) 396-7713

NPI assigned

Sep 9, 2025

Organization subpart

No

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

Authorized official

Name

Chardai Wilson, PMHNPNPI 1841004819

Title

Nurse Practitioner

Phone

(301) 396-7713

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chardai Wilson

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxon Hill, MD
  • NPI 1841004819
  NPD Authorized official

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1124909874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL STE 1074",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062278",
            "telephone_number": "301-396-7713",
            "fax_number": "301-396-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL STE 1074",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062278",
            "telephone_number": "301-396-7713",
            "fax_number": "301-396-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSOLACE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARDAI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-396-7713",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Lanham, MD
• Providers in Lanham, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.