Vibrant Child Psychology Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

VIBRANT CHILD PSYCHOLOGY SERVICES LLC

Practice address

10150 W National Ave Ste 315
West Allis, WI 53227-2153

Phone

(262) 668-8870

Fax

(414) 310-0560

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Jill Delie, PSYDNPI 1437718624

Title

Owner

Phone

(414) 687-1285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Nicole Delie, PSYD

  • Psychologist
  • West Allis, WI
  • NPI 1437718624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1104648369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 N 84TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224705",
            "telephone_number": "414-687-1285",
            "fax_number": "414-310-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 315",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272153",
            "telephone_number": "262-668-8870",
            "fax_number": "414-310-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT CHILD PSYCHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "DELIE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-687-1285",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C Verbos, DDS
• Lori Ann Verburgt, RN, CDE
• Ronald Howard Verhulst, DDS
• Sumit Verma, M.D.
• Antoni Vermiglio, RN
• Ricardo Francisco Vidal-Chavez
• Tehya Mae Vigue, MSW, LCSW
• Macarena Correa Villa, LPC
• Georgia Vils, RN
• Jocelyn Torcolini Vincent, MD

• Psychologist in West Allis, WI
• Providers in West Allis, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.