Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prisma Wellness, PLLC

Organization Psychiatry Physician · NPI 1114675162

Prisma Wellness, PLLC is a Psychiatry Physician in Elm Grove, Wisconsin. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13500 Watertown Plank Rd Ste 102
Elm Grove, WI 53122-2222
Phone: (206) 785-1015
Fax: (206) 785-1023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Psychiatry Physician Taxonomy 2084P0800X
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X

Record details

NPI number1114675162
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrisma Wellness, PLLC
Authorized official Scott Wiener — Chief Medical Officer · (206) 785-1015
Other names Prisma Wellness, Pllc
NPI enumeratedMarch 17, 2022
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022
Mailing address2031 Ridge End Rd, Virginia Beach, VA 23454-1028

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