Individual provider Active NPI

Wieslaw Faliszewski

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1003211004
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9353073 Issued in FL
Practice address
1770 Cedar St
Rockledge, FL 32955-3133
Phone
(321) 890-1500
NPI assigned
Nov 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9353073 FL Primary

Addresses

Primary practice location

1770 Cedar St
Rockledge, FL 32955-3133

Mailing address

400 East Sheridan Rd
Melbourne, FL 32901-3122
Phone (321) 722-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171229002328 FL Practitioner - Nurse Practitioner 5991063661 Reassigns benefits to 2 organizations
Practice locations: Lake Mary, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Medicine and Psychotherapy LLCGroup PAC ID 0345307518, 3 clinicians

Practice addresses (Care Compare)

1301 S International Pkwy
Suite 2021
Lake Mary, FL 32746-1411
Phone (407) 326-3436

2401 W Eav Gallie Blvd
Suite 1
Melbourne, FL 32935
Phone (321) 327-5952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine & Psychotherapy LLC CurrentSince Oct 21, 2025 Accepting new patients
Insight Therapeutic Services, Inc. Psychiatric/Mental Health CurrentSince Sep 1, 2019 Accepting new patients

Locations

1301 S International Pkwy
Ste 2021
Lake Mary, FL 32746
Phone (407) 324-0424

2340 Dairy Rd
Ste 104
West Melbourne, FL 32904
Phone (321) 327-5952

Interoperability endpoints

  • Direct secure messaging: behavioralmedicineandpsychotherapy.wesleyfaliszewskinp@128505.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003211004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013122",
            "telephone_number": "321-722-5200",
            "fax_number": "321-953-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 CEDAR ST",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553133",
            "telephone_number": "321-890-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALISZEWSKI",
        "first_name": "WIESLAW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9353073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.