Solace Grove Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOLACE GROVE PSYCHIATRY PLLC

Practice address

11350 Random Hills Rd Ste 856
Fairfax, VA 22030-6044

Phone

(240) 554-7071

NPI assigned

Mar 19, 2026

Organization subpart

No

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

Authorized official

Name

Sydonie Bongam, DNP, PMHNP-BC, FNP-CNPI 1881169415

Title

Provider (Rendering Provider)

Phone

(240) 554-7071

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Sydonie Bongam, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Purcellville, VA
  • NPI 1881169415
  NPD Authorized official

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1851249486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 856",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 856",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044",
            "telephone_number": "240-554-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE GROVE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "BONGAM",
        "authorized_official_first_name": "SYDONIE",
        "authorized_official_title_or_position": "PROVIDER (RENDERING PROVIDER)",
        "authorized_official_telephone_number": "240-554-7071",
        "authorized_official_credential": "DNP, PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colette Micheline Snow, CRNA
• Victoria Snyder, CNM, WHNP - BC, MS
• Isaac So, DDS
• Siavash C Sobhani, M.D.
• Melissa Sokol
• Alexandra Nyx Solea
• Tara Danielle Soligan, LPC, MAC, NCC
• Jackline Soliman
• Niveen Soliman
• Rachael Solini, PT

• Psychiatric/Mental Health Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.