Vine Street Clinical Associates, LLC
NPI 1356625966ActiveOrganization· Psychiatry & Neurology, Psychiatry· Springfield, IL
Psychiatry & Neurology, Psychiatry in Springfield, Illinois, registered in NPPES in September 2011. The authorized official on file is J Travis Dowell, Vice President Mps And Operations.
Overview
| NPI | 1356625966 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2011 |
| Last updated in NPPES | Sep 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Clinical Nurse Specialist, Psych/Mental Health, Adult | 364SP0809X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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