OrganizationActive
Michael R.p. Vivian, MD
NPI 1104091966 · Psychiatry Physician · Ventura, CA
Provider details
- NPI number
- 1104091966
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Vivian, Physician(805) 650-3888
- License
- G78890 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
260 Maple Ct Ste 205
Ventura, CA 93003-9134
Phone: (805) 650-3888
Fax: (805) 650-3804
Street-level locationGet directions
Mailing address
260 Maple Ct Ste 205
Ventura, CA 93003-9134
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2013-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.