NICOLE VIENNA PSY.D.
NPI 1073702197
Psychologist in San Dimas, CA
About Nicole Vienna Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE VIENNA PSY.D. (NPI 1073702197) is an individual psychologist in San Dimas, California and active in the NPI registry since October 2007. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Nicole Vienna Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIMAS, CA 91773
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Vienna's NPI number?
The NPI number for Nicole Vienna is 1073702197. It was assigned to this individual provider in the NPPES registry on October 15, 2007. The provider is also known as Nicole Radford.
Where is Nicole Vienna located?
Nicole Vienna practices at 464 E Bonita Ave Suite 11, San Dimas, CA 91773. The listed phone number is (626) 709-3494.
What is Nicole Vienna's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Nicole Vienna enrolled in Medicare?
No. Nicole Vienna has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Nicole Vienna was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.