Active NPI
Vita Therapy PLLC
- Clinical Psychologist
- Dallas, TX
National Provider Identifier
1306441514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- VITA THERAPY PLLC
- Practice address
- 10000 N Central Expy Ste 400
Dallas, TX 75231-4180 - Phone
- (646) 853-4376
- NPI assigned
- Dec 3, 2020
- Last updated
- Jan 11, 2021
- Organization subpart
- Yes
- Parent organization
- SHANNON R. POPPITO, PHD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shannon Rose Poppito, PHD
- Title
- Clinical Psychologist
- Phone
- (646) 853-4376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
10000 N Central Expy Ste 400
Dallas, TX 75231-4180
Mailing address
8703 Flint Falls Dr
Dallas, TX 75243-7540
Phone (646) 853-4376
Other names 1
- Shannon R. Poppito, PhD
National Provider Directory
National Provider Directory- Part of
- Vita Therapy PLLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Duarte, CA
- NPI 1902125735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610323200000",
"number": "1306441514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8703 FLINT FALLS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752437540",
"telephone_number": "646-853-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 N CENTRAL EXPY STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314180",
"telephone_number": "646-853-4376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITA THERAPY PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHANNON R. POPPITO, PHD",
"enumeration_date": "2020-12-03",
"last_updated": "2021-01-11",
"certification_date": "2020-12-08",
"status": "A",
"authorized_official_last_name": "POPPITO",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "646-853-4376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shannon R. Poppito, PhD",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Shannon R. Poppito, PhD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.