Active NPI
Lauren Richardson, PHD
- Clinical Psychologist
- Newport Beach, CA
National Provider Identifier
1679853378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY29368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29368 | CA | MD | Clinical Psychologist |
| 29368 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Newport Beach, CA
- NPI 1023769957
-
- Marriage & Family Therapist
- Santa Ana, CA
- NPI 1124470232
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.