Organization Active NPI

Solace Beyond Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1538038476
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOLACE BEYOND PSYCHIATRY, LLC
Practice address
95 Farrar Ave
Worcester, MA 01604-3260
Phone
(413) 378-5104
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Priscilla Baah Antwi, PMHNP-BCNPI 1275338667
Title
Pmhnp-BC
Phone
(413) 378-5104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

95 Farrar Ave
Worcester, MA 01604-3260

Mailing address

95 Farrar Ave
Worcester, MA 01604-3260
Phone (413) 378-5104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260302000828 MA Part B Supplier - Clinic/Group Practice 4284116153 Receives reassigned benefits from 1 practitioner
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1538038476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 FARRAR AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043260",
            "telephone_number": "413-378-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 FARRAR AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043260",
            "telephone_number": "413-378-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE BEYOND PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "ANTWI",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_middle_name": "BAAH",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "413-378-5104",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.