Provider Demographics
NPI:1104719889
Name:SOLARA PSYCHIATRY
Entity type:Organization
Organization Name:SOLARA PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JAIME
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:978-297-8117
Mailing Address - Street 1:60 ISLAND ST STE 113W
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1835
Mailing Address - Country:US
Mailing Address - Phone:978-297-8117
Mailing Address - Fax:351-888-1285
Practice Address - Street 1:60 ISLAND ST STE 113W
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1835
Practice Address - Country:US
Practice Address - Phone:978-297-8117
Practice Address - Fax:351-888-1285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-31
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health