Prisma Wellness, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PRISMA WELLNESS, PLLC

Practice address

2031 Ridge End Rd
Virginia Beach, VA 23454-1028

Phone

(206) 785-1015

Fax

(206) 785-1023

NPI assigned

Mar 9, 2022

Organization subpart

Yes

Parent organization

PRISMA WELLNESS, PLLCAs reported in NPPES

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 3

Addresses

Tax ID family

Prisma Wellness PLLC3 organizations share this tax ID, including this one

Part of

Prisma Wellness PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Prisma Wellness, PLLC

  • Psychiatry Physician
  • Renton, WA
  • NPI 1093351496
  NPD tax ID
• Prisma Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elm Grove, WI
  • NPI 1114675162
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prisma Wellness PLLC

  • Psychiatry Physician
  • Norfolk, VA
  • NPI 1285207316
  NPPES parent name

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1598412504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 RIDGE END RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541028",
            "telephone_number": "206-939-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 RIDGE END RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541028",
            "telephone_number": "206-785-1015",
            "fax_number": "206-785-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA WELLNESS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA WELLNESS, PLLC",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.