Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Wallen, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1609583517

Robert Wallen, PMHNP is a Nurse Practitioner in Goodyear, Arizona. Qualified in 2022, 4 years ago. Practices with Bella Vida TMS LLC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

14122 W McDowell Rd Ste 203
Goodyear, AZ 85395-2505
Phone: (623) 349-1711
Fax: (623) 399-1958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 282633 (AZ)

Record details

NPI number1609583517
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedOctober 31, 2022
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address14122 W McDowell Rd Ste 203, Goodyear, AZ 85395-2505

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bella Vida Tms Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Goodyear