NPIMap

Organization Active NPI

Vibrant Minds, PLLC

  • Child & Adolescent Psychiatry Physician
  • Austin, TX
National Provider Identifier
1639568991
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
VIBRANT MINDS, PLLC
Practice address
10711 Burnet Rd
Suite 321
Austin, TX 78758-4478
Phone
(512) 944-5856
NPI assigned
Jan 9, 2015
Last updated
Jan 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Karen SeroussiNPI 1932335692
Title
DO
Phone
(512) 944-5856

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)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

10711 Burnet Rd
Suite 321
Austin, TX 78758-4478

Mailing address

10711 Burnet Rd
Suite 321
Austin, TX 78758-4478

National Provider Directory

National Provider Directory

Locations

10711 Burnet Rd
Ste 321
Austin, TX 78758
Phone (512) 300-0428

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.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1639568991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 BURNET RD",
            "address_2": "SUITE 321",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 BURNET RD",
            "address_2": "SUITE 321",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584478",
            "telephone_number": "512-944-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT MINDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "SEROUSSI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "512-944-5856"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.