Vibrant Health Choice, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

VIBRANT HEALTH CHOICE, PLLC

Practice address

1247 Carr Ave
Memphis, TN 38104-2610

Phone

(866) 901-3621

Fax

(662) 673-3910

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Candace Marie Thompson, MDNPI 1376633594

Title

MD/Owner

Phone

(901) 949-1367

Specialties & licenses 1

Addresses

Practitioners 1

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

• Candace Marie Thompson, M.D.

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1376633594
  NPD Authorized official

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612051200000",
    "number": "1770189904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 CARR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044544",
            "telephone_number": "866-901-3621",
            "fax_number": "662-673-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 CARR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042610",
            "telephone_number": "866-901-3621",
            "fax_number": "662-673-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT HEALTH CHOICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "901-949-1367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veterans Affairs Hospital (Memphis)
• Rachel Wheeler Veteto, LPC-MHSP
• Vetrans Administration
• Via Institutes PLLC
• Vibrant ABA TN LLC
• Vibrant Life Services
• Paige Vicenzi, DO
• Scott Thomas Vicenzi, DO
• Malasy Vichathep, CRNA
• Thomas A Vickers, CRNA

• Psychiatry Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.