Individual provider Active NPI

Brett Veltman, PSYD

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1194991166
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21684 Issued in CA
Practice address
4060 Campus Dr Ste 120
Newport Beach, CA 92660-2205
Phone
(626) 263-7528
NPI assigned
Apr 30, 2008
Last updated
Apr 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 21684 CA Primary

Addresses

Primary practice location

4060 Campus Dr Ste 120
Newport Beach, CA 92660-2205

Mailing address

4060 Campus Dr Ste 120
Newport Beach, CA 92660-2205
Phone (626) 263-7528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 24, 2019 through Oct 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21684CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Veltman, Psy.D., a Clinical Psychology Corporation Clinical CurrentSince Jun 23, 2024 Accepting new patients

Locations

130 S Euclid Ave
Ste 2
Pasadena, CA 91101
Phone (626) 263-7528

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1194991166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602205",
            "telephone_number": "626-263-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 CAMPUS DR STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602205",
            "telephone_number": "626-263-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELTMAN",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.