NPIMap

Organization Active NPI

Inspire Psychological Center, LLC

  • Clinical Psychologist
  • Sheridan, NY
National Provider Identifier
1962882233
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INSPIRE PSYCHOLOGICAL CENTER, LLC
Practice address
632 Coffeen Ave
Sheridan, NY 82801
Phone
(307) 655-5510
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Dr. Vivianne Lemos Tran, PSY.D.NPI 1831325794
Title
Owner
Phone
(307) 679-9057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

632 Coffeen Ave
Sheridan, NY 82801

Mailing address

632 Coffeen Ave
Sheridan, WY 82801-5314
Phone (307) 655-5510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160721000622 WY Part B Supplier - Clinic/Group Practice 8123311644 Receives reassigned benefits from 4 practitioners
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

632 Coffeen Ave
Sheridan, WY 82801
Phone (307) 655-5510

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1962882233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 COFFEEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015314",
            "telephone_number": "307-655-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 COFFEEN AVE",
            "city": "SHERIDAN",
            "state": "NY",
            "postal_code": "82801",
            "telephone_number": "307-655-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE PSYCHOLOGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "VIVIANNE",
        "authorized_official_middle_name": "LEMOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-679-9057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.