Vita Therapy, Pllc
Psychologist (Clinical)

Address: 8703 Flint Falls Dr, Dallas, TX 75243-7540
Phone: 6468534376

Vita Therapy, Pllc (NPI# 1306441514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1306441514
Entity Type Organization
Organization Name VITA THERAPY, PLLC
Practice Address 8703 Flint Falls Dr
TX 75243-7540
Practice Telephone 6468534376
Mailing Address 8703 Flint Falls Dr
TX 75243-7540
Mailing Telephone 6468534376
Authorized Official Name Dr. Shannon Rose Poppito (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 6468534376
Authorized Official Credential PHD
Organization Subpart Yes, this organization is a Subpart
Parent Organization Name SHANNON R. POPPITO, PHD
Enumeration Date 2020-12-03
Last Update Date 2020-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Shannon R. Poppito, PhD Other Name - Individual/Organization

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Notes: Source: American Psychological Association, [1/1/2019: new definition]

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1013517267 Hunter Boone Small Psychologist 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 2020-10-27
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1871104760 Nicole Elizabeth Hooper Psychologist 1 Stonebriar Ct, Dallas, TX 75206-8812 2020-08-13
1992313522 Aisha Iqbal Psychologist 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 2020-07-20
1801430483 Yaffa Podbilewicz-schuller Psychologist 6618 Elvedon Dr, Dallas, TX 75248-1324 2019-11-06
1578111993 Anne Caroline Brasch Psychologist 6750 Hillcrest Plaza Dr Ste 206, Dallas, TX 75230-1438 2019-08-28
1215497672 Tiffany Armstrong Psychologist 8350 N Central Expy Ste 1275, Dallas, TX 75206-1614 2019-03-21
1275001208 Bryan Elliott Jester Psychologist 4100 Spring Valley Rd Ste 511, Dallas, TX 75244-3678 2018-11-07
1003398074 Aaron Hands Psychologist 5646 Milton St Ste 740, Dallas, TX 75206 2018-09-05
1174001960 Robert Butler Hampson Psychologist 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 2018-08-02
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Office Location

Street Address 8703 FLINT FALLS DR
State TX
Zip Code 75243-7540

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NPI Name Taxonomy Address Enumeration
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Zip Code 75243

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.