Brave Young Minds PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BRAVE YOUNG MINDS PLLC

Practice address

2021 Guadalupe St Ste 260
Austin, TX 78705-5654

Phone

(512) 572-4215

Fax

(512) 256-9854

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erika Vivyan

Title

Owner

Phone

(512) 572-4215

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1023877891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055654",
            "telephone_number": "512-572-4215",
            "fax_number": "512-256-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055654",
            "telephone_number": "512-572-4215",
            "fax_number": "512-256-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE YOUNG MINDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "VIVYAN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-572-4215"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Melena Braun, MD
• Shelley Braun, LMSW
• Anna Brauninger, CPNP-AC
• Mary Jane Emily Braunstein, M.D.
• Maxwell William Braunstein
• Shalyn Bravens, LMSW
• Aaron Braverman, LCSW
• Bravo Counseling Center, PLLC
• Cristal Bravo Galindez
• Bravo Health Mid-Atlantic, Inc.

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.