NPIMap

Organization Active NPI

Brite Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Brea, CA
National Provider Identifier
1558773846
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 25423 Issued in CA
Legal business name
BRITE PSYCHOLOGICAL SERVICES, A PROFESSIONAL CORPORATION
Practice address
265 S Randolph Ave
Suite 165
Brea, CA 92821-5754
Phone
(714) 582-2149
Fax
(714) 544-1473
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Dr. Jaime H. Brown Jr., PSY.D.NPI 1144410200
Title
President
Phone
(626) 581-6752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY 25423 CA Primary

Addresses

Primary practice location

265 S Randolph Ave
Suite 165
Brea, CA 92821-5754

Mailing address

265 S Randolph Ave
Suite 165
Brea, CA 92821-5754
Phone (714) 582-2149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150306001410 CA Part B Supplier - Clinic/Group Practice 2769708890 Receives reassigned benefits from 3 practitioners
Practice locations: Brea, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1558773846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S RANDOLPH AVE",
            "address_2": "SUITE 165",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215754",
            "telephone_number": "714-582-2149",
            "fax_number": "714-544-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S RANDOLPH AVE",
            "address_2": "SUITE 165",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215754",
            "telephone_number": "714-582-2149",
            "fax_number": "714-544-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITE PSYCHOLOGICAL SERVICES, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-581-6752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.