Organization Active NPI

Sol Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Lake Hills, TX
National Provider Identifier
1811730336
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOL PSYCHIATRY PLLC
Practice address
1101 S Capital of Texas Hwy Ste 245
West Lake Hills, TX 78746-6445
Phone
(512) 507-8284
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Tiffany Staley
Title
Billing Director
Phone
(512) 270-1286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1101 S Capital of Texas Hwy Ste 245
West Lake Hills, TX 78746-6445

Mailing address

7801 Cheno Cortina TRL
Austin, TX 78749-2717
Phone (512) 507-8284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821001557 TX Part B Supplier - Clinic/Group Practice 9830637859 Receives reassigned benefits from 3 practitioners
Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory

Locations

1101 S Capital of Texas Hwy
Ste 245
West Lake Hills, TX 78746
Phone (512) 200-2570

1101 S Capital of Texas Hwy
Ste A245
West Lake Hills, TX 78746

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1811730336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 CHENO CORTINA TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787492717",
            "telephone_number": "512-507-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CAPITAL OF TEXAS HWY STE 245",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466445",
            "telephone_number": "512-507-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "512-270-1286"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.