Vaken Integrated Care LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VAKEN INTEGRATED CARE LLC

Practice address

11816 Inwood Rd
PMB 70454
Dallas, TX 75244

Phone

(833) 825-3694

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Sundvall, PHD

Title

Contact

Phone

(833) 825-3694

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637452800000",
    "number": "1871262022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11816 INWOOD RD STE 70454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448011",
            "telephone_number": "833-825-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11816 INWOOD RD",
            "address_2": "PMB 70454",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "833-825-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAKEN INTEGRATED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A",
        "authorized_official_last_name": "SUNDVALL",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CONTACT",
        "authorized_official_telephone_number": "833-825-3694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Vaillancourt, LPC-S
• Mayuri Hana Vaish
• Siddharthan Vaithilingam, MD, DAABIP
• Emily Rose Vajirasarn, OTR
• Manohar P Vajja, MD
• Lauren Vakos, LMFT, ATR
• Natalie Christine Vala, PA-C
• Michael Scott Valachovic, M.D.
• Hector Manuel Valadez Jr.
• Javier A Valadez, MD

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.