DR. CHRISTINE L WARREN PSYD
NPI 1104374305
Psychologist in Newport Beach, CA

Active since September 15, 2016Opted out of Medicare · through Oct 26, 2026
3700 CAMPUS DRIVE, SUITE 208, NEWPORT BEACH, CA 92660(800) 624-1475 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 23, 2020, Sep 18, 2020, Sep 15, 2016 (3 updates tracked since 2016).

About Dr. Christine L Warren Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHRISTINE L WARREN PSYD (NPI 1104374305) is an individual psychologist in Newport Beach, California, licensed in California (PSY32170) and active in the NPI registry since September 2016. She has opted out of Medicare through October 26, 2026.

NPPES Registry Identity

NPI1104374305
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHRISTINE L WARRENCredential: PSYD
Location Address3700 CAMPUS DRIVE, SUITE 208Newport Beach, CA 92660
Mailing Address21151 S Western Ave Ste 271Torrance, CA 90501-1724
Sole ProprietorNo
Enumeration DateSeptember 15, 2016
Last NPPES UpdateOctober 23, 20203 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
NPI 1104374305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY32170
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3700 CAMPUS DRIVE, Newport Beach, CA 92660

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Christine L Warren Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 26, 2020 through October 26, 2026.

Opt-Out Effective DateOctober 26, 2020
Opt-Out In Effect ThroughOctober 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104374305, enumerated as an "individual" on September 15, 2016.

The provider is located at 3700 CAMPUS DRIVE SUITE 208 NEWPORT BEACH, CA 92660 and the phone number is (800) 624-1475.

Psychologist with taxonomy code 103T00000X.