Professional Mental Health Wellness Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PROFESSIONAL MENTAL HEALTH WELLNESS SERVICES LLC

Practice address

10564 NW Sr 20 Suite #2
Bristol, FL 32321

Phone

(850) 447-4644

NPI assigned

Apr 11, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kristina A Rickman-Sykes, APRNNPI 1184254047

Title

Pmhnp

Phone

(850) 447-4644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Kristina Ann Rickman-Sykes

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, FL
  • NPI 1184254047
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1659013548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "HOSFORD",
            "state": "FL",
            "postal_code": "323340443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 NW SR 20 SUITE #2",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "32321",
            "telephone_number": "850-447-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MENTAL HEALTH WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "RICKMAN-SYKES",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "850-447-4644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "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": []
}

• Pharmacy Investment Coordinators, Inc (buy rite drugs # 9)
• Mark Steven Plummer
• Amberly Portero
• Premier Therapy and Rehab
• Jana Presley
• Queen Brown Haven Assisted Living Facility
• Emily Louise Rattini-Reich, MSW
• Kristina Michelle Revell
• Kristina Ann Rickman-Sykes
• Lauren Marie Riles

• Psychiatric/Mental Health Nurse Practitioner in Bristol, FL
• Providers in Bristol, 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 Aug 29, 2022; 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.