SOLACE BEHAVIORAL HEALTH, LLC – Psychiatry Physician, NPI 1760732887
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOLACE BEHAVIORAL HEALTH, LLC
4800 Rowan Rd
New Port Richey, FL 346535609
Phone: (336) 818-4411
Fax: (336) 818-2141
Type: Location
17222 HOSPITAL BLVD.
SUITE 116
BROOKSVILLE, FL 346018925
Phone: (352) 678-5550
Fax: (352) 678-5551
Type: Mailing
4800 ROWAN RD
NEW PORT RICHEY, FL 346535609
Phone: (727) 483-5912
Fax: (727) 376-3652
Type: Mailing
17222 HOSPITAL BLVD STE 226
BROOKSVILLE, FL 346018925
Phone: (352) 678-5550
Fax: (352) 678-5551
Type: Location
5100 W Kennedy Blvd Ste 160
Tampa, FL 336091817
Phone: (813) 925-4145
Fax: (813) 935-0550
Type: Location
17222 HOSPITAL BLVD STE 120
BROOKSVILLE, FL 346018906
Phone: (352) 678-5550
Fax: (352) 678-5551
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (830 days ago).
Enrollment records
1
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180924002296 | O | Clinic/Group Practice | NC | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34653)
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