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

Prisma Wisconsin LLC

Organization Psychiatry Physician · NPI 1497519979

Prisma Wisconsin LLC is a Psychiatry Physician in Elm Grove, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
LLC — 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

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

Record details

NPI number1497519979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Wiener — Medical Director · (206) 939-1079
NPI enumeratedFebruary 6, 2024
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address2031 Ridge End Rd, Virginia Beach, VA 23454-1028

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