Psyche Wellbeing

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

PSYCHE WELLBEING

Doing business as

Psyche Wellbeing

Practice address

201 NE Park Plaza Dr Ste 200
Vancouver, WA 98684-5871

Phone

(360) 903-1829

Fax

(360) 991-0337

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jovel Broqueza, DNP

Title

President

Phone

(360) 903-1829

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Psyche Wellbeing Doing business as

Medicare fee-for-service enrollment

Enrolled in IL, WA2 enrollments

Enrollment records 2

Practitioners 4

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

• Jovel Viloria-Scarlet, DNP, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1598019697

  IL

  Medicare reassignment Care Compare group NPD
• Andrea Arias, APN

  • Family Nurse Practitioner
  • Hoffman Estates, IL
  • NPI 1750894747

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bridget Dietz, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1720522592
  Medicare reassignment NPD
• Diana Michelle Reynolds, L.C.P.C.

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1265552681
  Medicare reassignment NPD

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1609601384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986070699",
            "telephone_number": "360-903-1829",
            "fax_number": "360-991-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845871",
            "telephone_number": "360-903-1829",
            "fax_number": "360-991-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Perimeter Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601735079",
            "country_code": "US",
            "telephone_number": "360-903-1829",
            "fax_number": "360-991-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHE WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "BROQUEZA",
        "authorized_official_first_name": "JOVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-903-1829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER'S NPI (PRESIDENT/OWNER OF PSYCHE WELLBEING)",
            "identifier": "1598019697",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psyche Wellbeing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psyche Wellbeing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaleen J Pruitt, LMT
• Rebecca Pruitt
• Brianna Marie Prutz
• Tameca Vernee Pryce
• Inness Pryor, LMHC, SUDPT
• PT Elite, Inc.
• Puariea Chiropractic Center
• William H Puckett, MSW
• Maria De Los Angeles Puente Maldonado, DOULA
• Ivan Puente Roca, RDA

• Child & Adolescent Psychiatry Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Child & Adolescent Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.