Vine Behavioral Health and Wellness, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VINE BEHAVIORAL HEALTH AND WELLNESS, PLLC

Practice address

8000 W Interstate 10 Ste 626
San Antonio, TX 78230-3868

Phone

(210) 900-0252

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Karissa M Nauert, PSYDNPI 1962753491

Title

Clinical Psychologist

Phone

(210) 900-0252

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Karissa Monique Nauert, PSYD

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1962753491
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1518649441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W INTERSTATE 10 STE 626",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303868",
            "telephone_number": "210-900-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W INTERSTATE 10 STE 626",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303868",
            "telephone_number": "210-900-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE BEHAVIORAL HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "NAUERT",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "210-900-0252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Fontana, Jr., D.D.S., Inc.
• Bianca Vianee Vincent, LMFT
• Britney Vincent, LPC
• Jayson Vincent, LAT, ATC
• Sylvia Vincent, SLP
• Vine Medical Equipment, LLC (Vine Medical Equipment)
• Justin Vine, NP
• David Lynn Vines, MHS, RRT
• Kayla Vinh
• Danny Vining, PMHNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.