Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vibrant Integrative Psychiatry PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1962116459

Vibrant Integrative Psychiatry PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Kenosha, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6530 Sheridan Rd Ste 3
Kenosha, WI 53143-5063
Phone: (224) 285-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1962116459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ilya Ray — Owner · (224) 285-6006
NPI enumeratedJanuary 9, 2023
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing address6530 Sheridan Rd Ste 3, Kenosha, WI 53143-5063

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