Viviana McGovern LMFT, Individual, Marriage and Family Therapy, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VIVIANA MCGOVERN LMFT, INDIVIDUAL, MARRIAGE AND FAMILY THERAPY, INC.

Doing business as

Full Vida Therapy

Practice address

21520 Yorba Linda Blvd Ste G
Yorba Linda, CA 92887-3764

Phone

(714) 485-6187

NPI assigned

Jul 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Viviana McGovern, M.A, LMFTNPI 1609496678

Title

Ceo, President

Phone

(714) 485-6187

Specialties & licenses 1

Addresses

Other names 1

• Full Vida Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Viviana McGovern, LMFT 136563

  • Marriage & Family Therapist
  • Yorba Linda, CA
  • NPI 1609496678
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1013696392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20409 YORBA LINDA BLVD # 163",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863042",
            "telephone_number": "714-485-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21520 YORBA LINDA BLVD STE G",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873764",
            "telephone_number": "714-485-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIANA MCGOVERN LMFT, INDIVIDUAL, MARRIAGE AND FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "VIVIANA",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "714-485-6187",
        "authorized_official_credential": "M.A, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Vida Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Toshiko Uyekawa, LMFT
• Michael Christopher Valdez, MD
• Dennis Dale Van Vliet, AU.D.
• Amy Michelle Vargo-Kite, AU.D.
• Tanida Tammy Vidhyarkorn, PHARMD
• Thu-Thuy Vo, D.D.S.
• Vons Companies Inc (Vons Pharmacy #3069)
• Tommy Vu, OTR/L
• Jayshree Vyas, M.D.
• Vanessa K Wada, RD

• Community/Behavioral Health Agency in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.