Individual provider Active NPI

Sarwat Bashir Waraich, PSY.D.

  • Psychologist
  • Brea, CA
National Provider Identifier
1003833906
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19573 Issued in CA
Practice address
135 S State College Blvd Ste 200
Brea, CA 92821-5805
Phone
(626) 283-5852
Fax
(626) 280-3110
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY19573 CA Primary

Addresses

Primary practice location

135 S State College Blvd Ste 200
Brea, CA 92821-5805

Mailing address

135 S State College Blvd Ste 200
Brea, CA 92821-5805
Phone (626) 283-5852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000989 CA Practitioner - Clinical Psychologist 4183677735 Practice locations: Brea, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

135 S State College Blvd
Suite 200
Brea, CA 92821-5805
Phone (626) 283-5852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY19573CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
SBW Psychological Services Inc. Current Accepting new patients

Locations

135 S State College Blvd
Ste 200
Brea, CA 92821
Phone (626) 283-5852

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1003833906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S STATE COLLEGE BLVD STE 200",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215805",
            "telephone_number": "626-283-5852",
            "fax_number": "626-280-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S STATE COLLEGE BLVD STE 200",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215805",
            "telephone_number": "626-283-5852",
            "fax_number": "626-280-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARAICH",
        "first_name": "SARWAT",
        "middle_name": "BASHIR",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.