MEDICARE: VISTA VIEW FAMILY THERAPY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1235004177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISTA VIEW FAMILY THERAPY, INC

Provider Business Mailing Address
First Line	:	4100 W ALAMEDA AVE STE 300
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4153
Country	:	US
Telephone Number	:	818-900-1569
Fax Number	:	661-524-9950

Provider Business Practice Location Address
First Line	:	4041 ARCH DR.
Second Line	:	APT 111
City	:	STUDIO CITY
State	:	CA
Zip	:	91604
Country	:	US
Telephone Number	:	818-900-1569
Fax Number	:	661-524-9950

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	NICOLE SEGROVES
Credential	:
Telephone Number	:	661-874-7851

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	03/05/2026

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