Prisma Health PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PRISMA HEALTH PLLC

Practice address

13500 Watertown Plank Rd Ste 102
Elm Grove, WI 53122-2222

Phone

(206) 785-1015

Fax

(206) 785-1023

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Scott Wiener, MDNPI 1922333996

Title

Medical Director

Phone

(206) 939-1079

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Wiener, M.D.

  • Psychiatry Physician
  • Greenfield, WI
  • NPI 1922333996
  Authorized official Same address or phone

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1639947815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 111TH AVE NE STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048361",
            "telephone_number": "206-785-1015",
            "fax_number": "206-785-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 WATERTOWN PLANK RD STE 102",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222222",
            "telephone_number": "206-785-1015",
            "fax_number": "206-785-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-939-1079",
        "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": []
}

• Joseph Anthony Pavletich Jr., D.D.S.
• Pediatrics MD
• Loren-Ashley Peterson, PHARMD
• Jill M Petryczkiewycz, PHYSICAL THERAPIST
• Julie D Powers, PHYSICAL THERAPY ASS
• Prisma Wellness, PLLC
• Prisma Wisconsin LLC
• Jessica Ramintho, APNP
• Jelanny Ramirez Pavon
• Arthur Dudley Rapkin, O.M.D.

• Psychiatry Physician in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.