DR. VIVED GONZALEZ PSY.D
NPI 1164864294
Marriage & Family Therapist in San Juan Capistrano, CA

Active since July 17, 2013Opted out of Medicare · through Feb 7, 2028
31473 RANCHO VIEJO RD STE 102, SAN JUAN CAPISTRANO, CA 92675(949) 200-7723(949) 281-5243 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2023, Jan 18, 2022, Nov 17, 2021 and 5 more (8 updates tracked since 2017).

About Dr. Vived Gonzalez Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIVED GONZALEZ PSY.D (NPI 1164864294) is an individual marriage & family therapist in San Juan Capistrano, California, licensed in California (MFT89060) and active in the NPI registry since July 2013. She has opted out of Medicare through February 7, 2028.

NPPES Registry Identity

NPI1164864294
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. VIVED GONZALEZCredential: PSY.D
Location Address31473 RANCHO VIEJO RD STE 102San Juan Capistrano, CA 92675-1862
Mailing Address31473 Rancho Viejo Rd Ste 102San Juan Capistrano, CA 92675-1862 · (949) 200-7723 · Fax (949) 281-5243
Fax(949) 281-5243
Sole ProprietorYes
Enumeration DateJuly 17, 2013
Last NPPES UpdateSeptember 7, 20238 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1164864294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · MFT89060 Licensed in AZ · LMFT15560
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LMFT89060 (CA)
31473 RANCHO VIEJO RD STE 102, San Juan Capistrano, CA 92675

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Vived Gonzalez 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 February 7, 2024 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2024
Opt-Out In Effect ThroughFebruary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
31473 RANCHO VIEJO RD STE 102
SAN JUAN CAPISTRANO, CA 92675
Marriage & Family Therapist
31473 RANCHO VIEJO RD STE 102
SAN JUAN CAPISTRANO, CA 92675
Marriage & Family Therapist
31473 RANCHO VIEJO RD STE 102
SAN JUAN CAPISTRANO, CA 92675
Marriage & Family Therapist
31473 RANCHO VIEJO RD STE 102
SAN JUAN CAPISTRANO, CA 92675

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 Vived Gonzalez's NPI number?

The NPI number for Vived Gonzalez is 1164864294. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Vived Gonzalez located?

Vived Gonzalez practices at 31473 Rancho Viejo Rd Ste 102, San Juan Capistrano, CA 92675. The listed phone number is (949) 200-7723.

What is Vived Gonzalez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Vived Gonzalez enrolled in Medicare?

No. Vived Gonzalez has opted out of Medicare through February 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Vived Gonzalez was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.