Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vienna Psychological Group, Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1740653963

Vienna Psychological Group, Inc is an Addiction (Substance Use Disorder) Counselor in San Dimas, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

464 E Bonita Ave Ste 11
San Dimas, CA 91773-3144
Phone: (626) 709-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 26945 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Family Psychologist Taxonomy 103TF0000X · Licence 26945 (CA)
Forensic Psychologist Taxonomy 103TF0200X · Licence 26945 (CA)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 26945 (CA)
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1740653963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Vienna — Vice President & Clinical Director · (949) 290-3947
NPI enumeratedNovember 10, 2015
Last updated in NPPESFebruary 28, 2017
Mailing address464 E Bonita Ave, Suite 11, San Dimas, CA 91773-3144

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