VIENNA PSYCHOLOGICAL GROUP, INC.
NPI 1740653963
Psychologist - Clinical in San Dimas, CA

Active since November 10, 2015
464 E BONITA AVE, SUITE 11, SAN DIMAS, CA 91773(626) 709-3494 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2017, Dec 5, 2015, Nov 10, 2015 (3 updates tracked since 2015).

About Vienna Psychological Group, Inc. NPPES

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

VIENNA PSYCHOLOGICAL GROUP, INC. (NPI 1740653963) is a healthcare organization registered as a clinical in San Dimas, California and active in the NPI registry since November 2015. The organization lists Nicole Marie Vienna, Vice President & Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1740653963
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameVIENNA PSYCHOLOGICAL GROUP, INC.
Location Address464 E BONITA AVE, SUITE 11San Dimas, CA 91773-3144
Mailing Address464 E Bonita Ave, Suite 11San Dimas, CA 91773-3144 · (626) 709-3494
Organization SubpartNo
Authorized OfficialNicole Marie ViennaVice President & Clinical Director · (949) 290-3947
Enumeration DateNovember 10, 2015
Last NPPES UpdateFebruary 28, 20173 updates tracked since enumeration
NPI 1740653963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 26945
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 26945 (CA)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 26945 (CA)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 26945 (CA)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
464 E BONITA AVE, San Dimas, CA 91773

Other Identifiers 1

Medicare PINCB261945CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychologist
464 E BONITA AVE, SUITE 11
SAN DIMAS, CA 91773

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740653963, enumerated as an "organization" on November 10, 2015.

The provider is located at 464 E BONITA AVE SUITE 11 SAN DIMAS, CA 91773 and the phone number is (626) 709-3494.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.