NPIMap

Organization Active NPI

Solacium Holdings, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berwyn, PA
National Provider Identifier
1164025730
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOLACIUM HOLDINGS, LLC
Practice address
1031 Old Cassatt Rd
Berwyn, PA 19312-1152
Phone
(570) 527-4785
NPI assigned
Nov 17, 2020
Organization subpart
Yes
Parent organization
SOLACIUM HOLDING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Sharnell Spencer
Title
Credentialing Manager
Phone
(661) 239-6923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1031 Old Cassatt Rd
Berwyn, PA 19312-1152

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Phone (661) 622-4132

Other names 1

  • Embark at Main Line Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2251426Embark Behavioral Health - Main Line1031 Old Cassatt Rd, Berwyn, PA 19312Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Solacium Holding LLC13 organizations share this tax ID, including this one
Part of
Solacium Holding LLC

Other organizations with this tax ID 12

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

Locations

1031 Old Cassatt Rd
Berwyn, PA 19312
Phone (267) 297-1353

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1164025730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631",
            "telephone_number": "661-622-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 OLD CASSATT RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121152",
            "telephone_number": "570-527-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACIUM HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLACIUM HOLDING LLC",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SHARNELL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "661-239-6923"
    },
    "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": [
        {
            "organization_name": "Embark at Main Line",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Embark at Main Line",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.