=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538933080
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIND VIBE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/14/2023
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7777 SOUTHWEST FWY STE 934
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-1813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-714-4968
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7777 SOUTHWEST FWY STE 190
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-1802
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-554-1185
-----------------------------------------------------
Fax | 805-439-1070
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | JOSE FELIBERTI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 346-554-1185
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------