Provider Demographics
NPI:1548839129
Name:RIVIERA PSYCHOLOGY GROUP INC
Entity type:Organization
Organization Name:RIVIERA PSYCHOLOGY GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:805-377-3734
Mailing Address - Street 1:621 CHAPALA ST STE C
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-7010
Mailing Address - Country:US
Mailing Address - Phone:805-377-3734
Mailing Address - Fax:805-335-6856
Practice Address - Street 1:621 CHAPALA ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7010
Practice Address - Country:US
Practice Address - Phone:805-377-3734
Practice Address - Fax:805-335-6856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty