VIENNA PSYCHOLOGICAL GROUP, INC. (NPI# 1740653963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740653963 |
| Entity Type | Organization |
| Organization Name | VIENNA PSYCHOLOGICAL GROUP, INC. |
| Practice Address |
464 E Bonita Ave Suite 11 San Dimas CA 91773-3144 |
| Practice Telephone | 6267093494 |
| Mailing Telephone | 6267093494 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | DR. NICOLE MARIE VIENNA (VICE PRESIDENT & CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9492903947 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TF0000X |
Psychologist Specialization: Family |
26945 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
26945 | CA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
26945 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
26945 | CA | Behavioral Health & Social Service Providers |
| Street Address |
464 E BONITA AVE SUITE 11 |
| City | SAN DIMAS |
| State | CA |
| Zip Code | 91773-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073702197 | Nicole Vienna | Psychologist | 464 E Bonita Ave, Suite 11, San Dimas, CA 91773-3144 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533114 | Bonita Counseling Center | Marriage & Family Therapist | 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 | 2020-09-16 |
| 1457824419 | Georgina Almaraz | Case Manager/Care Coordinator | 677 Cliffside Dr Ste 677, San Dimas, CA 91773 | 2019-01-02 |
| 1922581560 | Readirides, Inc. | Non-emergency Medical Transport (VAN) | 451 W Bonita Ave Ste 14, San Dimas, CA 91773 | 2018-09-10 |
| 1710468376 | Marianne Shehata | Dentist | 925 Avenida Loma Vista, San Dimas, CA 91773 | 2018-08-22 |
| 1750875738 | Compassionate Hearts Home Health, Inc. | Home Health | 237 W Bonita Ave Ste F, San Dimas, CA 91773 | 2018-06-21 |
| 1548786056 | Era Life Care | Home Health | 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 | 2017-08-16 |
| 1700302569 | Melanie Sabrina Schmuck | Physical Therapist | 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 | 2017-08-14 |
| 1811410111 | Nicole Geraldine Skinner | Social Worker | 762 W Cypress St, San Dimas, CA 91773 | 2017-07-19 |
| 1245760842 | Caren Senn | Dietitian, Registered | 917 Laramie Drive, San Dimas, CA 91773 | 2017-06-15 |
| 1417485020 | Young Mi Kim | Acupuncturist | 1121 Via Verde, San Dimas, CA 91773 | 2017-05-25 |
| Find all providers in zip 91773 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808623 | Helou Psychological Services Inc | Psychologist | 1305 W Arrow Hwy Ste 204, San Dimas, CA 91773-2338 | 2020-07-17 |
| 1013423904 | Barbara Lynn Sanders | Psychologist | 954 N Amelia Ave Ste B-4, San Dimas, CA 91773-1407 | 2017-12-14 |
| 1770701229 | Elsa Adriana Hilo | Psychologist | 1338 Paseo Sereno, San Dimas, CA 91773-4139 | 2007-04-22 |
| 1982727053 | Michael Farinha | Psychologist | 1751 Calle Ciervos, San Dimas, CA 91773-4121 | 2007-04-06 |
| 1114041423 | Jessie Rose Lowell | Psychologist | 1270 N San Dimas Canyon Rd, San Dimas, CA 91773-1223 | 2007-03-19 |
| 1982737458 | Lusk Psychological Services, Inc. | Psychologist | 954 N Amelia Ave, Ste B-4, San Dimas, CA 91773-1407 | 2007-03-14 |
| 1487796074 | Maria R. Martin | Psychologist | 100 W Foothill Blvd Ste 104, San Dimas, CA 91773-1170 | 2007-02-12 |
| 1578612339 | Bishara John Shahin | Psychologist | 1127 Via Verde, San Dimas, CA 91773-4428 | 2007-01-10 |
| 1699794388 | Thomas Paul Delaney | Psychologist | 1173 N Dixie Dr, Ste. 101, San Dimas, CA 91773-1200 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.