Prisma Wellness Ohio LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRISMA WELLNESS OHIO LLC

Practice address

5080 Bradenton Ave Ste D
Dublin, OH 43017-7582

Phone

(206) 785-1015

Fax

(206) 785-1023

NPI assigned

Apr 15, 2025

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, MD

Title

Medical Director

Phone

(206) 939-1079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kimberly Watts, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Worthington, OH
  • NPI 1124899646
  NPD (past)

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1962298125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 COTTONTAIL LN",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327516309",
            "telephone_number": "206-939-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 BRADENTON AVE STE D",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177582",
            "telephone_number": "206-785-1015",
            "fax_number": "206-785-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA WELLNESS OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Nursing Services, Inc.
• Sharmekia Primes
• Tia Maria Prince, LPN
• Euleetha Pringle
• Julia Pringle
• Erin Michelle Pritchard, MA, LPCC-S
• Laura Pritt
• Pro-Active Wound Care Clinics LLC
• Professionals for Womens Health
• Promise Health Care Services, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dublin, OH
• Providers in Dublin, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.