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VIDA CLINIC PLLC
NPI 1912389081
Psychologist - Clinical in Austin, TX

Active since June 24, 2015
1221 W BEN WHITE BLVD STE 210A, AUSTIN, TX 78704(512) 960-4533(512) 887-3970 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 16, 2021, Nov 2, 2017, Jan 15, 2016 (3 updates tracked since 2016).

About Vida Clinic Pllc NPPES

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

VIDA CLINIC PLLC (NPI 1912389081) is a healthcare organization registered as a clinical in Austin, Texas and active in the NPI registry since June 2015. The organization lists Alain Stordahl, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1912389081
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameVIDA CLINIC PLLC
Location Address1221 W BEN WHITE BLVD STE 210AAustin, TX 78704-7182
Mailing Address1221 W Ben White Blvd Ste 210aAustin, TX 78704-7182 · (512) 960-4533 · Fax (512) 887-3970
Phone(512) 960-4533
Fax(512) 887-3970
Organization SubpartNo
Authorized OfficialAlain StordahlBusiness Manager · (512) 537-7976
Enumeration DateJune 24, 2015
Last NPPES UpdateAugust 16, 20213 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1912389081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 34166
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 34166 (TX)
1221 W BEN WHITE BLVD STE 210A, Austin, TX 78704
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Other Identifiers 1

Medicaid3572935-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAUDIA NAHIELI HERNANDEZ VARGAS LMSW
Social Worker (Clinical)
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704
Travis County (512) 960-4533
GEORGINA MARIE PETRONELLA LMSW
Social Worker
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704
Travis County (512) 960-4533
SHARIKA WASHINGTON LMSW
Social Worker
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704
Travis County (512) 960-4533
IAN WOODWICK
Psychologist
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704
Travis County (512) 960-4533
MARTHA E SCHMITZ, M.D., P.C
Obstetrics & Gynecology
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704
Travis County (512) 394-0054
BRIANNE DAUBENSPECK LCSW
Social Worker (Clinical)
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704
Travis County (512) 960-4533
CHELSEA GARCIA
Social Worker (Clinical)
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704
Travis County (512) 960-4533
KRISTEN THEIS LPC
Counselor (Professional)
1221 W BEN WHITE BLVD STE 210A
AUSTIN, TX 78704
Travis County (512) 960-4533

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 Vida Clinic PLLC's NPI number?

The NPI number for Vida Clinic PLLC is 1912389081. It was assigned to this organization in the NPPES registry on June 24, 2015.

Where is Vida Clinic PLLC located?

Vida Clinic PLLC is located at 1221 W Ben White Blvd Ste 210A, Austin, TX 78704. The listed phone number is (512) 960-4533.

What is Vida Clinic PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Vida Clinic PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Vida Clinic PLLC 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 Vida Clinic PLLC was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.