Vienna Psychological Group, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

26945 Issued in CA

Legal business name

VIENNA PSYCHOLOGICAL GROUP, INC.

Practice address

464 E Bonita Ave
Suite 11
San Dimas, CA 91773-3144

Phone

(626) 709-3494

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Marie Vienna, PSYD

Title

Vice President & Clinical Director

Phone

(949) 290-3947

Specialties & licenses 8

Addresses

Locations

Practitioners 1

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

• Brittany Bell

  • Psychologist
  • Glendora, CA
  • NPI 1831739457
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1740653963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 E BONITA AVE",
            "address_2": "SUITE 11",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733144",
            "telephone_number": "626-709-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 E BONITA AVE",
            "address_2": "SUITE 11",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733144",
            "telephone_number": "626-709-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA PSYCHOLOGICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "VIENNA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "949-290-3947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26945",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "26945",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "26945",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "26945",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emanuel Alexander Vidal
• Jennifer Vidal
• Nicole Vienna, PSY.D.
• Mathew Brian Villalpando
• Bianca Selene Villanueva, ASW
• Melanie Villarroel, OTR/L
• Visionary Retail Management Ca, Inc

• Clinical Psychologist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.