ANTONIUS D BRANDON (NPI# 1790889863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790889863 |
| Entity Type | Individual |
| Full Name | ANTONIUS D BRANDON |
| Credential | PHD |
| Practice Address |
5887 Brockton Ave Riverside Psychiatric Medical Group Ste A Riverside CA 92506 |
| Practice Telephone | 9512758500 |
| Practice Fax Number | 9512758560 |
| Mailing Telephone | 9512758500 |
| Mailing Fax Number | 9512758560 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY12281 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5887 BROCKTON AVE RIVERSIDE PSYCHIATRIC MEDICAL GROUP STE A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164526232 | Kathryn Virginia Mantz | Psychologist | 5887 Brockton Ave, Riverside Psychiatric Medical Group Ste A, Riverside, CA 92506 | 2006-09-11 |
| 1184270381 | Jessica Nicole Rodello | Nurse Practitioner | 5887 Brockton Ave, Riverside, CA 92506-1853 | 2019-08-13 |
| 1821569765 | Christianne Zah-weber | Nurse Practitioner | 5887 Brockton Ave, Riverside, CA 92506-1853 | 2018-12-17 |
| 1568852473 | Ucr Health Psychiatry - Brockton | Clinic/Center | 5887 Brockton Ave, Suite A, Riverside, CA 92506-1853 | 2015-01-29 |
| 1336566348 | Scott Veltre | Clinical Nurse Specialist | 5887 Brockton Ave, Suite A, Riverside, CA 92506-1853 | 2014-03-27 |
| 1952558041 | Enn Magi | Psychiatry & Neurology | 5887 Brockton Ave, Riverside, CA 92506-1858 | 2008-08-20 |
| 1689858417 | Kathleen A Kelly | Counselor | 5887 Brockton Ave, Suite A, Riverside, CA 92506-1858 | 2007-12-28 |
| 1649346941 | Xiaoying Cui | Psychiatry & Neurology | 5887 Brockton Ave, Suite A Riverside Psychiatric Medical Group, Riverside, CA 92506 | 2006-11-28 |
| 1497837686 | Carol J. Appleton | Physical Therapist | 5887 Brockton Ave, Suite B, Riverside, CA 92506-1858 | 2006-10-19 |
| 1811085160 | Robert Brooke Summerour | Psychiatry & Neurology | 5887 Brockton Ave, Suite A Riverside Psychiatric Medical Group, Riverside, CA 92506 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205098068 | Michael B Cao | Clinical Neuropsychologist | 19314 Jesse Ln Ste 200, Riverside, CA 92508-5070 | 2008-07-01 |
| 1699892166 | Irwin Savodnik, M.d. & Medical Associates, Inc. | Clinical Neuropsychologist | 4000 14th St Ste 405, Riverside, CA 92501-4010 | 2007-03-22 |
| 1851752521 | Brian Kavanaugh | Clinical Neuropsychologist | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2016-03-09 |
| 1639469257 | Keith L. Drieberg | Clinical Neuropsychologist | 4500 Riverwalk Pkwy, Riverside, CA 92503 | 2011-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.