PMP Wellness L.L.C.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PMP WELLNESS L.L.C.

Doing business as

Elevated Psychiatry

Practice address

346 Freeman St
Longwood, FL 32750-4171

Phone

(689) 290-6776

NPI assigned

Nov 24, 2023

Organization subpart

No

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

Authorized official

Name

Imara Blume, PMHNP-BC

Title

Provider

Phone

(689) 290-6776

Specialties & licenses 1

Addresses

Other names 1

• Elevated Psychiatry Doing business as

Locations

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

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717286400000",
    "number": "1649045253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 FREEMAN ST UNIT 210",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 FREEMAN ST",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504171",
            "telephone_number": "689-290-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMP WELLNESS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "IMARA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "689-290-6776",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevated Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zacharie Luter Pierre
• Kyle Pitstick, DC
• Graciela Angelica Placeres, RBT
• Sherene D Plant, LPN
• Dennis Edward Platt, M.D.
• Sangeetha Polasa, M.D.
• Anna C Polec, LMT
• Pascal Romulus Polica, M.S.
• Madison Pollock
• Ashley Hilal Pomales

• Psychiatric/Mental Health Nurse Practitioner in Longwood, FL
• Providers in Longwood, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; 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.