Vibrant Integrative Psychiatry PLLC
NPI 1962116459 · Mental Health Clinic/Center (Including Community Mental Health Center) · Kenosha, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vibrant Integrative Psychiatry PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Kenosha, WI (NPI 1962116459).
Provider details
- NPI number
- 1962116459
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ilya Ray, Owner(224) 285-6006
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-01-09
- Last updated
- 2023-04-10
- Certified
- 2023-04-10
Frequently asked questions
- What is Vibrant Integrative Psychiatry PLLC's NPI number?
- Vibrant Integrative Psychiatry PLLC's National Provider Identifier (NPI) is 1962116459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vibrant Integrative Psychiatry PLLC?
- Vibrant Integrative Psychiatry PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Vibrant Integrative Psychiatry PLLC located?
- Vibrant Integrative Psychiatry PLLC's practice location on file with NPPES is 6530 Sheridan Rd Ste 3, Kenosha, WI 53143-5063.
- What is Vibrant Integrative Psychiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Vibrant Integrative Psychiatry PLLC is (224) 285-6006.
- Does Vibrant Integrative Psychiatry PLLC accept Medicare?
- Vibrant Integrative Psychiatry PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vibrant Integrative Psychiatry PLLC?
- The authorized official listed on Vibrant Integrative Psychiatry PLLC's NPPES record is Ilya Ray, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vibrant Integrative Psychiatry PLLC's NPI active?
- Yes — Vibrant Integrative Psychiatry PLLC's NPI (1962116459) is active in the NPPES registry as of the last update on 2023-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.