Healthcare Provider Details

I. General information

NPI: 1932025392
Provider Name (Legal Business Name): PSYCHIATRIC WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 MANHATTAN AVE
BROOKLYN NY
11222-7847
US

IV. Provider business mailing address

183 WILSON ST STE 510
BROOKLYN NY
11211-7578
US

V. Phone/Fax

Practice location:
  • Phone: 718-233-5006
  • Fax:
Mailing address:
  • Phone: 718-233-5006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD LOUIS PRICE
Title or Position: SOLE MEMBER
Credential: MD
Phone: 718-233-5006