Organization Active NPI

Prime Psychiatry and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pace, FL
National Provider Identifier
1174407696
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRIME PSYCHIATRY AND WELLNESS PLLC
Practice address
4519 Woodbine Rd
Pace, FL 32571-8706
Phone
(850) 806-1668
Fax
(850) 806-1668
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Kylee Jenise Dalton, AUTONOMOUS APRN
Title
Pmhnp-BC
Phone
(850) 377-2769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4519 Woodbine Rd
Pace, FL 32571-8706

Mailing address

5958 Cherry Hill Cir
Pace, FL 32571-9211
Phone (850) 377-2769

Other names 1

  • Prime Psychiatry and Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1174407696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 CHERRY HILL CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719211",
            "telephone_number": "850-377-2769",
            "fax_number": "850-202-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718706",
            "telephone_number": "850-806-1668",
            "fax_number": "850-806-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PSYCHIATRY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_middle_name": "JENISE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "850-377-2769",
        "authorized_official_credential": "AUTONOMOUS APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Psychiatry and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.