Erika Jane Vivyan, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

37950 Issued in TX

Practice address

205 Wild Basin #3 Suite 202
Austin, TX 78746

Phone

(512) 246-7225

NPI assigned

Sep 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1952886962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN #3 SUITE 202",
            "city": "AUSTIN",
            "state": "TN",
            "postal_code": "78746",
            "telephone_number": "512-246-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN #3 SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-246-7225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Joe DiMaggio Blvd Ste 66",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786653997",
            "country_code": "US",
            "telephone_number": "512-246-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVYAN",
        "first_name": "ERIKA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Jenine De Jesus Vivas
• Vivent Pharmacy LLC
• Vivere Health Austin, LLC (Vivere Austin Surgery Center)
• Vivid Speech Therapy PLLC
• Vivid Voices Speech Therapy LLC
• Sloan Vlahos, MS, RD, LD, CSSD
• Alexis Dianne Vlasik
• VMC Pharmacy at Stonegate, LLC
• VMD Primary Providers of South Central Texas PLLC (Village Medical)
• VMPT

• 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 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.