Active NPI
Maltezos Wellness Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1962345454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MALTEZOS WELLNESS PSYCHIATRY LLC
- Practice address
- 920 16TH St N
St Petersburg, FL 33705-1211 - Phone
- (727) 390-9012
- NPI assigned
- Apr 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lily Maltezos, PMHNP-BC
- Title
- Ceo
- Phone
- (727) 390-9012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
920 16TH St N
St Petersburg, FL 33705-1211
Mailing address
920 16TH St N
St Petersburg, FL 33705-1211
Phone (727) 390-9012
National Provider Directory
National Provider DirectoryLocations
920 16th St N
St Petersburg, FL 33705
Phone (727) 390-9012
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Petersburg, FL
- NPI 1265304190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775779200000",
"number": "1962345454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 16TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051211",
"telephone_number": "727-390-9012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 16TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051211",
"telephone_number": "727-390-9012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALTEZOS WELLNESS PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-10",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A",
"authorized_official_last_name": "MALTEZOS",
"authorized_official_first_name": "LILY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-390-9012",
"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": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.