Organization Active NPI

Solara Mind Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Malden, MA
National Provider Identifier
1629944335
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOLARA MIND BEHAVIORAL HEALTH, LLC
Practice address
578 Main Street
Unit 202B
Malden, MA 02148
Phone
(857) 919-2945
NPI assigned
Oct 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Authorized official

Name
Carla Merlos Chindongo, MSN, APRN, PMHNP-BCNPI 1760809685
Title
Psychiatric Nurse Practitioner
Phone
(857) 919-2945

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: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

578 Main Street
Unit 202B
Malden, MA 02148

Mailing address

4 Stone LN Apt 5147
Malden, MA 02148-1573
Phone (857) 919-2945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210002337 MA Part B Supplier - Clinic/Group Practice 7618461310 Receives reassigned benefits from 1 practitioner
Practice locations: Malden, MA

National Provider Directory

National Provider Directory

Locations

578 Main St
Ste 202B
Malden, MA 02148
Phone (617) 299-0928

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": "1760140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760140800000",
    "number": "1629944335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STONE LN APT 5147",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021481573",
            "telephone_number": "857-919-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 MAIN STREET",
            "address_2": "UNIT 202B",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "857-919-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLARA MIND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A",
        "authorized_official_last_name": "MERLOS CHINDONGO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "857-919-2945",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.