VIBRANT CHILD PSYCHOLOGY SERVICES LLC
NPI 1104648369
Psychologist in West Allis, WI

Active since October 29, 2024
10150 W NATIONAL AVE STE 315, WEST ALLIS, WI 53227(262) 668-8870(414) 310-0560 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vibrant Child Psychology Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIBRANT CHILD PSYCHOLOGY SERVICES LLC (NPI 1104648369) is a healthcare organization registered as a psychologist in West Allis, Wisconsin and active in the NPI registry since October 2024. The organization lists Jill Delie, Owner, as its authorized official.

NPPES Registry Identity

NPI1104648369
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameVIBRANT CHILD PSYCHOLOGY SERVICES LLC
Location Address10150 W NATIONAL AVE STE 315West Allis, WI 53227-2153
Mailing Address2945 N 84th StMilwaukee, WI 53222-4705 · (414) 687-1285 · Fax (414) 310-0560
Fax(414) 310-0560
Organization SubpartNo
Authorized OfficialJill DelieOwner · (414) 687-1285
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1104648369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
10150 W NATIONAL AVE STE 315, West Allis, WI 53227

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vibrant Child Psychology Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vibrant Child Psychology Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1437718624
10150 W NATIONAL AVE STE 315
West Allis, WI 53227
(414) 545-4430
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vibrant Child Psychology Services LLC's NPI number?

The NPI number for Vibrant Child Psychology Services LLC is 1104648369. It was assigned to this organization in the NPPES registry on October 29, 2024.

Where is Vibrant Child Psychology Services LLC located?

Vibrant Child Psychology Services LLC is located at 10150 W National Ave Ste 315, West Allis, WI 53227. The listed phone number is (262) 668-8870.

What is Vibrant Child Psychology Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Vibrant Child Psychology Services LLC enrolled in Medicare?

Yes. Vibrant Child Psychology Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vibrant Child Psychology Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Vibrant Child Psychology Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vibrant Child Psychology Services LLC accept?

Health plans from Quartz list Vibrant Child Psychology Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vibrant Child Psychology Services LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.