Healthcare Provider Details

I. General information

NPI: 1023299278
Provider Name (Legal Business Name): JOSEPH ALEXANDER VIVO PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 E SANTA CLARA ST STE 210
ARCADIA CA
91006-7233
US

IV. Provider business mailing address

255 E SANTA CLARA ST STE 210
ARCADIA CA
91006-7233
US

V. Phone/Fax

Practice location:
  • Phone: 626-639-8804
  • Fax:
Mailing address:
  • Phone: 626-639-8804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY26923
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: