Sherrouse Psychiatry and Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SHERROUSE PSYCHIATRY AND WELLNESS

Practice address

406 S Waukesha St
Bonifay, FL 32425-2714

Phone

(850) 373-8002

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Kayla Sherrouse, APRNNPI 1619491057

Title

Owner

Phone

(850) 373-8002

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Kayla Renae Sherrouse, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bonifay, FL
  • NPI 1619491057
  NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1053149351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 STEVERSON RD",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324255601",
            "telephone_number": "850-373-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S WAUKESHA ST",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324252714",
            "telephone_number": "850-373-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERROUSE PSYCHIATRY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "SHERROUSE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-373-8002",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Pierce, DMD, PC
• Patricia Rudd
• Gregory Sallas
• Senior Residences, Inc.
• Rhonda L Serpas, LMT
• Kayla Renae Sherrouse, ARNP
• Tiszon Sketo
• Marietta Elise Solomon, APRN
• Chloe Morris Somerset
• South Alabama Diagnostic Imaging PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.