Vitality Psychological Services LLC
NPI 1265904288ActiveOrganization· Behavior Analyst· Phoenix, AZ
Behavior Analyst in Phoenix, Arizona, registered in NPPES in January 2019. The authorized official on file is Christine Breuer, PHD, Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265904288 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2019 |
| Last updated in NPPES | Sep 17, 2025 |
| Certified by provider | Sep 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Psychologist | 103T00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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