Pomila Integrated Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

POMILA INTEGRATED WELLNESS LLC

Practice address

10800 Corkscrew Rd Ste 210
Estero, FL 33928-9453

Phone

(844) 290-7300

Fax

(844) 787-9900

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Robert Pollack, MD

Title

Owner

Phone

(844) 290-7300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Robert Ravenscroft

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1851002505
  NPD
• Chrisanna G Wright, LMHC,RD/LD

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1871777599
  NPD (past)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1740865013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 CORKSCREW RD STE 210",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289453",
            "telephone_number": "844-290-7300",
            "fax_number": "833-228-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 CORKSCREW RD STE 210",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289453",
            "telephone_number": "844-290-7300",
            "fax_number": "844-787-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMILA INTEGRATED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-290-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald D Picking III
• Sandra M Pilarski, OT
• Constantine Elefterios Plakas, MD
• Brandy Rae Polanco, DNP, FNP-BC, FNP-C
• Robert W Pollack, MD
• Lavinia Popescu, DDS
• Postpartum Alliance of Southwest Florida
• Holly Powell, LCSW
• Practice Makes Purpose Counseling Services
• Precision Pathology Associates, Inc.

• Psychiatry Physician in Estero, FL
• Providers in Estero, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.