Organization Active NPI

Solana Psychiatry PLLC

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1376388637
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SOLANA PSYCHIATRY PLLC
Practice address
4611 E Chandler Blvd Ste 112-1160
Phoenix, AZ 85048-0441
Phone
(602) 899-9800
Fax
(602) 562-6032
NPI assigned
Jun 28, 2024
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Dr. Robert Beukema, DNPNPI 1376279505
Title
Member
Phone
(602) 899-9800

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4611 E Chandler Blvd Ste 112-1160
Phoenix, AZ 85048-0441

Mailing address

4611 E Chandler Blvd Ste 112-1160
Phoenix, AZ 85048-0441
Phone (602) 899-9800

National Provider Directory

National Provider Directory

Locations

4611 E Chandler Blvd
Ste 1121160
Phoenix, AZ 85048
Phone (520) 276-9278

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1376388637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E CHANDLER BLVD STE 112-1160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480441",
            "telephone_number": "602-899-9800",
            "fax_number": "602-562-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E CHANDLER BLVD STE 112-1160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480441",
            "telephone_number": "602-899-9800",
            "fax_number": "602-562-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANA PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BEUKEMA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-899-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.