Active NPI
Payne Family & Psychiatric Nursing, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
National Provider Identifier
1295646057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PAYNE FAMILY & PSYCHIATRIC NURSING, INC.
- Practice address
- 1828 Austin Way
Santa Rosa, CA 95404-3608 - Phone
- (707) 758-7362
- Fax
- (707) 408-2083
- NPI assigned
- Sep 12, 2026
- 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
- Ms. Lemelm Wolday Payne, FNPC PMHNP BC
- Title
- Owner
- Phone
- (707) 758-7362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1828 Austin Way
Santa Rosa, CA 95404-3608
Mailing address
1828 Austin Way
Santa Rosa, CA 95404-3608
Phone (707) 758-7362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789171200000",
"number": "1295646057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 AUSTIN WAY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043608",
"telephone_number": "707-758-7362",
"fax_number": "707-408-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 AUSTIN WAY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043608",
"telephone_number": "707-758-7362",
"fax_number": "707-408-2083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAYNE FAMILY & PSYCHIATRIC NURSING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-12",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "LEMELM",
"authorized_official_middle_name": "WOLDAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-758-7362",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNPC PMHNP BC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.