OrganizationActive
Vida Clinic PLLC
NPI 1912389081 · Clinical Psychologist · Austin, TX
Vida Clinic PLLC is a Clinical Psychologist organization in Austin, TX (NPI 1912389081).
Provider details
- NPI number
- 1912389081
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alain Stordahl, Business Manager(512) 537-7976
- License
- 34166 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1221 W Ben White Blvd Ste 210a
Austin, TX 78704-7182
Phone: (512) 960-4533
Fax: (512) 887-3970
Street-level locationGet directions
Mailing address
1221 W Ben White Blvd Ste 210a
Austin, TX 78704-7182
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2021-08-16
- Certified
- 2021-08-16
Frequently asked questions
- What is Vida Clinic PLLC's NPI number?
- Vida Clinic PLLC's National Provider Identifier (NPI) is 1912389081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vida Clinic PLLC?
- Vida Clinic PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Vida Clinic PLLC located?
- Vida Clinic PLLC's practice location on file with NPPES is 1221 W Ben White Blvd Ste 210a, Austin, TX 78704-7182.
- What is Vida Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vida Clinic PLLC is (512) 960-4533.
- Who is the authorized official for Vida Clinic PLLC?
- The authorized official listed on Vida Clinic PLLC's NPPES record is Alain Stordahl, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vida Clinic PLLC's NPI active?
- Yes — Vida Clinic PLLC's NPI (1912389081) is active in the NPPES registry as of the last update on 2021-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.