Active NPI
Prisma Wellness, PLLC
- Psychiatry Physician
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PRISMA WELLNESS, PLLC
- Practice address
- 321 Burnett Ave S FL 2
Renton, WA 98057-2558 - Phone
- (206) 785-1015
- Fax
- (206) 785-1023
- NPI assigned
- Nov 20, 2019
- Last updated
- Oct 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Wiener, MD
- Title
- Chief Medical Officer
- Phone
- (206) 785-1015
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
321 Burnett Ave S FL 2
Renton, WA 98057-2558
Mailing address
305 111TH Ave NE Ste B
Bellevue, WA 98004-8361
Phone (206) 785-1015
National Provider Directory
National Provider Directory- Tax ID family
- Prisma Wellness PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Elm Grove, WI
- NPI 1114675162
-
- Psychiatry Physician
- Virginia Beach, VA
- NPI 1598412504
Locations
901 Boren Ave
Ste 702
Seattle, WA 98104
Phone (206) 623-7444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Greenfield, WI
- NPI 1922333996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728518400000",
"number": "1093351496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 111TH AVE NE STE B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048361",
"telephone_number": "206-785-1015",
"fax_number": "206-785-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 BURNETT AVE S FL 2",
"city": "RENTON",
"state": "WA",
"postal_code": "980572558",
"telephone_number": "206-785-1015",
"fax_number": "206-785-1023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISMA WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-20",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A",
"authorized_official_last_name": "WIENER",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "206-785-1015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.