VIBRANT MINDS, PLLC (NPI# 1639568991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639568991 |
| Entity Type | Organization |
| Organization Name | VIBRANT MINDS, PLLC |
| Practice Address |
10711 Burnet Rd Suite 321 Austin TX 78758-4478 |
| Practice Telephone | 5129445856 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | KAREN SEROUSSI (DO) |
| Authorized Official Telephone | 5129445856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
10711 BURNET RD SUITE 321 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215159066 | Alan C. Williams | Dentist | 10711 Burnet Rd, Ste. 300, Austin, TX 78758-4457 | 2007-05-02 |
| 1043722200 | Rosanna N Honeycutt | Occupational Therapy Assistant | 10711 Burnet Rd, Austin, TX 78758-4478 | 2017-10-27 |
| 1932335692 | Karen B. Seroussi | Psychiatry & Neurology | 10711 Burnet Rd, Suite 321, Austin, TX 78758-4478 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902215098 | Iris Telehealth Medical Group Pa | Psychiatry & Neurology | 114 W 7th St Ste 650, Austin, TX 78701-3039 | 2014-08-04 |
| 1275899833 | Matthew Mceachern | Psychiatry & Neurology | 114 W 7th St Ste 900, Austin, TX 78701-3013 | 2012-04-09 |
| 1396976668 | Laurie Katherine Seremetis | Psychiatry & Neurology | 1016 Shelley Ave, Austin, TX 78703-4839 | 2009-08-04 |
| 1861655540 | Katrijn Seynnaeve Wilson | Psychiatry & Neurology | 5424 W Highway 290 Ste 108, Austin, TX 78735-8827 | 2008-07-03 |
| 1487702684 | Jay Alan Davis, Md | Psychiatry & Neurology | 202 Ashworth Dr, Austin, TX 78746-4604 | 2007-01-07 |
| 1548343254 | James Bayliss | Psychiatry & Neurology | 4110 Guadalupe St., Attn. Reimbursement Dept., Austin, TX 78751-4296 | 2006-10-24 |
| 1871674572 | Randall Mcintyre | Psychiatry & Neurology | 3160 Bee Cave Rd, Suite 201, Austin, TX 78746-5802 | 2006-10-18 |
| 1184665648 | Frank S. Floca | Psychiatry & Neurology | 1007 Mo Pac Cir Ste 203, Austin, TX 78746-6864 | 2006-06-08 |
| 1215933015 | James H Grubbs | Psychiatry & Neurology | 210 Lee Barton Dr, #318, Austin, TX 78704-1045 | 2005-06-27 |
| 1487650156 | James G Baker | Psychiatry & Neurology | Dell Medical School Dept of Psychiatry, 1701 Trinity, Austin, TX 78712 | 2005-06-27 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.