Ritual Wellness Atx PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

RITUAL WELLNESS ATX PLLC

Practice address

4131 Spicewood Springs Rd Ste I7
Austin, TX 78759-8659

Phone

(903) 914-0224

NPI assigned

Aug 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Leigh Stavinoha, PHD

Title

Licensed Psychologist

Phone

(903) 914-0224

Specialties & licenses 1

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.

• Lauren Mason, PSYD

  • Clinical Psychologist
  • Austin, TX
  • NPI 1639587991
  Medicare reassignment NPD

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1932874633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170073",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787170004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE I7",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598659",
            "telephone_number": "903-914-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITUAL WELLNESS ATX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "STAVINOHA",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "903-914-0224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Rittenberry, L.AC.
• Richard William Rittenhouse, DO
• Eric Charles Ritter, CRNA
• Gary Russell Ritter, LMT
• Jody Ritter
• Courtney Paige Rivadeneira, PT, DPT
• Gladys Andrea Rivadeneira
• Rivanta Medical LLC
• Rivapsych LLC
• Erica Maria Rivas de Srinivasa, M.D.

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.