Prisma Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PRISMA WELLNESS LLC

Practice address

3705 SE Cesar Chavez Blvd
Portland, OR 97202-1704

Phone

(206) 785-1015

Fax

(206) 785-1023

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1154942142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 SE CESAR CHAVEZ BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021704",
            "telephone_number": "206-785-1015",
            "fax_number": "206-785-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Prinzmetal, MA., LMFT
• Logan P. Priollaud, M.D.
• Aurora D Prior, CADC-I, CRM II
• Nicole Priscal, ND
• Priscilla Hefley Therapy
• Ben Pritchard
• Genevieve Pritchard, MA, LPC
• Monique Elizabeth Pritchard, MD
• David Pritchett, PA
• Don Pritchett

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• 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.

Verify at the official NPI Registry.