Individual provider Active NPI

Lauren Richardson, PHD

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1679853378
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29368 Issued in CA
Practice address
1000 Quail St Ste 250
Newport Beach, CA 92660-2784
Phone
(949) 504-0464
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 PSY29368 CA Primary

Addresses

Primary practice location

1000 Quail St Ste 250
Newport Beach, CA 92660-2784

Mailing address

1000 Quail St Ste 250
Newport Beach, CA 92660-2784
Phone (949) 504-0464

Other practice location 1

1020 S Arroyo Pkwy
Pasadena, CA 91105-3911
Phone (626) 403-2794

Other names 1

  • Lauren Brighton Former name

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 Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY29368CAMDClinical Psychologist
29368CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrivespace Psychological Services, Inc. Clinical Current Accepting new patients
Center for Individual and Family Therapy Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1679853378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602784",
            "telephone_number": "949-504-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602784",
            "telephone_number": "949-504-0464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 S Arroyo Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053911",
            "country_code": "US",
            "telephone_number": "626-403-2794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LAUREN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BRIGHTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.