| Brite Psychological Services, A Professional Corporation | |
|
265 S Randolph Ave Suite 165 Brea CA 92821-5754 | |
| (714) 582-2149 | |
| (714) 544-1473 |
| Full Name | Brite Psychological Services, A Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 265 S Randolph Ave, Brea, California |
| Authorized Official Name and Position | Jaime H. Brown (PRESIDENT) |
| Authorized Official Contact | 6265816752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brite Psychological Services, A Professional Corporation 265 S Randolph Ave Suite 165 Brea CA 92821-5754 Ph: (714) 582-2149 | Brite Psychological Services, A Professional Corporation 265 S Randolph Ave Suite 165 Brea CA 92821-5754 Ph: (714) 582-2149 |
| NPI Number | 1558773846 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 2769708890 |
|---|---|
| Medicare Enrollment ID | O20150306001410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558773846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 25423 (California) | Primary |
| Provider Name | Veronique Merrill Warner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659416840 PECOS PAC ID: 6103967799 Enrollment ID: I20100105000121 |
| Provider Name | Jaime Humberto Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144410200 PECOS PAC ID: 3678899705 Enrollment ID: I20150306001465 |
| Provider Name | Lorraine Alice Viade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891847414 PECOS PAC ID: 4284040718 Enrollment ID: I20210309000977 |
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