Vibrant Child Psychology Services LLC
NPI 1104648369ActiveOrganization· Psychologist· West Allis, WI
Psychologist in West Allis, Wisconsin, registered in NPPES in October 2024. The authorized official on file is Jill Delie, PSYD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104648369 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2024 |
| Last updated in NPPES | Oct 29, 2024 |
| Certified by provider | Oct 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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