Organization Active NPI

Payne Family & Psychiatric Nursing, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
National Provider Identifier
1295646057
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Sep 12, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.