BROCKTON INVESTMENTS & ASSOCIATES, LLC (NPI# 1306168430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306168430 |
| Entity Type | Organization |
| Organization Name | BROCKTON INVESTMENTS & ASSOCIATES, LLC |
| Other Organization Name | RIVERSIDE CENTER FOR BEHAVIORAL MEDICINE |
| Practice Address |
5900 Brockton Ave Riverside CA 92506-1862 |
| Mailing Address |
7201 Shallowford Rd Chattanooga TN 37421-2780 |
| Practice Telephone | 9512758400 |
| Practice Fax Number | 9517860527 |
| Mailing Telephone | 4233081845 |
| Mailing Fax Number | 4233081844 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | GARRON HAYCOCK (SUPERVISOR) |
| Authorized Official Telephone | 4233081845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Riverside Center for Behavioral Medicine | Doing Business As Name - Organization |
| Street Address |
5900 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386617421 | Gaurav Gandotra | Specialist | 5900 Brockton Ave, Riverside, CA 92506 | 2006-02-09 |
| 1215566989 | Jeannie H Jung | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2020-04-05 |
| 1043856263 | Gaurav Gandotra Inc | Psychiatry & Neurology | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-11-22 |
| 1700437084 | Yucui Chen Inc | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-09-27 |
| 1861058299 | Timothy Alan Weesner | Counselor | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-05-10 |
| 1366008799 | Julie Rae Wilson | Counselor | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-05-10 |
| 1508422932 | Carrie Hookfin | Registered Nurse | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-05-10 |
| 1053822262 | Maher Roman Md Inc | Clinic/Center | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-10-14 |
| 1891212296 | Heba Boshra Md, Inc. | Family Medicine | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-08-25 |
| 1407397672 | Adekemi Adedipe | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-03-20 |
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629264775 | Jerry L. Pettis Va Memorial Hospital | Psychiatric Hospital | 19845 San Luis Rey Ln, Riverside, CA 92508-6494 | 2007-09-22 |
| 1215566989 | Jeannie H Jung | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2020-04-05 |
| 1700437084 | Yucui Chen Inc | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2019-09-27 |
| 1407397672 | Adekemi Adedipe | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2017-03-20 |
| 1528519766 | Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2016-10-24 |
| 1003243577 | Vista Behavioral Hospital LLC | Psychiatric Hospital | 5900 Brockton Ave, Riverside, CA 92506-1862 | 2013-09-30 |
| 1912265323 | Emma Pendleton Bradley Hospital | Psychiatric Hospital | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2012-04-24 |
| 1336384353 | Riverside County Regional Medical Center | Psychiatric Hospital | 9990 County Farm Rd, Suite 1, Riverside, CA 92503-3542 | 2008-12-04 |
| 1851545644 | Riverside County Regional Medical Center | Psychiatric Hospital | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2008-11-06 |
| 1538337712 | Rcrmc | Psychiatric Hospital | 9990 County Farm Rd, Riverside, CA 92503-3542 | 2008-02-11 |
| Find all providers in RIVERSIDE | ||||
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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.