BEACHMAN PSYCHIATRY & ADDICTION MEDICAL CLINIC, INC.
NPI 1891588596
Clinic/Center in Eastvale, CA
About Beachman Psychiatry & Addiction Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEACHMAN PSYCHIATRY & ADDICTION MEDICAL CLINIC, INC. (NPI 1891588596) is a healthcare organization registered as a clinic/center in Eastvale, California and active in the NPI registry since May 2025. The organization lists Robert Jason, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beachman Psychiatry & Addiction Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Beachman Psychiatry & Addiction Medical Clinic, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Beachman Psychiatry & Addiction Medical Clinic, Inc.'s NPI number?
The NPI number for Beachman Psychiatry & Addiction Medical Clinic, Inc. is 1891588596. It was assigned to this organization in the NPPES registry on May 26, 2025.
Where is Beachman Psychiatry & Addiction Medical Clinic, Inc. located?
Beachman Psychiatry & Addiction Medical Clinic, Inc. is located at 6969 Boulder Creek Dr, Eastvale, CA 92880. The listed phone number is (517) 505-5831.
What is Beachman Psychiatry & Addiction Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Beachman Psychiatry & Addiction Medical Clinic, Inc. enrolled in Medicare?
Yes. Beachman Psychiatry & Addiction Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beachman Psychiatry & Addiction Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Beachman Psychiatry & Addiction Medical Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Beachman Psychiatry & Addiction Medical Clinic, Inc. was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Beachman Psychiatry & Addiction Medical Clinic, Inc. · NPI 1891588596
Clinic/Center organization in Eastvale, California. Organization record, active in the CMS NPPES registry since May 26, 2025.
## Identity
- **NPI:** 1891588596 (Entity type: Organization)
- **Enumerated:** May 26, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Robert Jason, OWNER
## Practice location
- **Address:** 6969 BOULDER CREEK DR, Eastvale, CA 92880-3680
- **Phone:** (517) 505-5831
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891588596) · Data from the CMS NPPES public registry.