PRISMA WELLNESS PLLC NPI 1114675162

NPI Information

  • NPI: 1114675162
  • Provider Name: PRISMA WELLNESS, PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 13500 WATERTOWN PLANK RD STE 102
    ELM GROVE, WI
    ZIP 53122
  • Phone: (206) 785-1015

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NPI Details

PRISMA WELLNESS, PLLC is a psychiatric/mental health nurse practitioner in Elm Grove, WI. PRISMA WELLNESS, PLLC NPI is 1114675162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13500 WATERTOWN PLANK RD STE 102
ELM GROVE, WI
ZIP 53122-222
Phone: (206) 785-1015
Fax: (206) 785-1023

The provider's authorized official is Scott Wiener .
The authorized official title is Chief Medical Officer and has the following contact phone number (206) 785-1015.

The enumeration date for this NPI number is 3/17/2022 and was last updated on 3/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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