Individual provider Active NPI

Veronique Merrill Warner, PSY.D.

  • Clinical Psychologist
  • Brea, CA
National Provider Identifier
1659416840
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17353 Issued in CA
Practice address
265 S Randolph Ave
Suite #165
Brea, CA 92821-5754
Phone
(714) 582-2149
Fax
(714) 544-1473
NPI assigned
Feb 21, 2007
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY17353 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY17353 CA
Clinical Psychologist 103TC0700X PSY17353 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
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
I20100105000121 CA Practitioner - Clinical Psychologist 6103967799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brite Psychological Services a Professional CorporationGroup PAC ID 2769708890, 3 clinicians

Practice addresses (Care Compare)

265 S Randolph Ave
Suite 165
Brea, CA 92821-5786
Phone (714) 582-2149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY17353CAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brite Psychological Services, a Professional Corporation Clinical CurrentSince Nov 9, 2015 Accepting new patients
Brite Psychological Services, Apc CurrentSince May 11, 2025 Accepting new patients

Locations

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

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1659416840",
    "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": {
        "last_name": "MERRILL WARNER",
        "first_name": "VERONIQUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17353",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY17353",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.