Premier Wellness Professional Nursing Corporation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PREMIER WELLNESS PROFESSIONAL NURSING CORPORATION

Practice address

2648 International Blvd Ste 115
PMB 1120
Oakland, CA 94601-1569

Phone

(510) 761-7274

Fax

(972) 845-8004

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Joan Nichole Taylor, PMHNP-BCNPI 1053785949

Title

Owner

Phone

(510) 795-2434

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan Nichole Taylor

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakland, CA
  • NPI 1053785949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1366322265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 INTERNATIONAL BLVD STE 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011580",
            "telephone_number": "510-761-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 INTERNATIONAL BLVD STE 115",
            "address_2": "PMB 1120",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011569",
            "telephone_number": "510-761-7274",
            "fax_number": "972-845-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-795-2434",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thalia Rios Preciado
• Yuliana Preciadocastano
• Precious Hands Comfort Care
• James Precour
• Kenya Yvette Pree
• Premise Health of California Medical PC
• Margarita Prensa
• Prep
• Burton Alan Presberg, MD
• Prescott-Joseph Center for Community Enhancement, Inc.

• Adult Mental Health Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.