{"npi":"1851249486","type":"NPI-2","status":"active","name":{"display":"Solace Grove Psychiatry PLLC","other":[],"organization_name":"SOLACE GROVE PSYCHIATRY PLLC","authorised_official":"Sydonie Bongam"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"11350 RANDOM HILLS RD STE 856","city":"FAIRFAX","state":"VA","postal_code":"220306044","country_code":"US","phone":"2405547071"},{"purpose":"MAILING","street_1":"11350 RANDOM HILLS RD STE 856","city":"FAIRFAX","state":"VA","postal_code":"220306044","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2026-03-19","last_updated":"2026-03-19","_meta":{"source":"NPPES","snapshot_date":"2026-03-19","doc_url":"https://findmynpi.com/api"}}