BRENDON DOUGLAS BROCKMANN (NPI# 1679815765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679815765 |
| Entity Type | Individual |
| Full Name | BRENDON DOUGLAS BROCKMANN |
| Credential | MD |
| Practice Address |
2085 Rustin Ave Ste 2 Riverside CA 92507 |
| Mailing Address |
2085 Rustin Ave Ste 2 Riverside CA 92507-2498 |
| Practice Telephone | 9515098200 |
| Practice Fax Number | 9513586622 |
| Mailing Telephone | 9515098200 |
| Mailing Fax Number | 9513586622 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A135079 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2085 RUSTIN AVE STE 2 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487953808 | Erika Montoya | Counselor | 2085 Rustin Ave Ste 2, Riverside, CA 92507-2498 | 2011-03-24 |
| 1912446162 | Carlotta Lopez Parada | Licensed Vocational Nurse | 2085 Rustin Ave Ste 2, Riverside, CA 92507-2498 | 2017-02-21 |
| 1285005959 | Laura Ruiz | Licensed Vocational Nurse | 2085 Rustin Ave Ste 2, Riverside, CA 92507-2498 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609430420 | Sundermd & Associates, P.C. | Psychiatry & Neurology | 5700 Division St Ste B, Riverside, CA 92506-3257 | 2019-04-26 |
| 1104349190 | Kevin Simonson | Psychiatry & Neurology | 9990 County Farm Rd Ste 4, Riverside, CA 92503-3542 | 2017-07-20 |
| 1033505813 | Monish Parmar | Psychiatry & Neurology | Uc Riverside Som Psychiatry, 14350-2 Meridian Parkway, Riverside, CA 92518 | 2015-04-08 |
| 1992102990 | Khai Nguyen | Psychiatry & Neurology | 14350 Meridian Pkwy, Riverside, CA 92518-3035 | 2014-11-19 |
| 1588901219 | Gordon Vincent Brion | Psychiatry & Neurology | 3900 Sherman Way, Attn: Mvt Program, Riverside, CA 90253 | 2013-01-15 |
| 1508125733 | John David Lii | Psychiatry & Neurology | 3398 Utah St, Riverside, CA 92507 | 2012-05-08 |
| 1588841902 | Jonathan Lam Yuen Watt | Psychiatry & Neurology | 5225 Canyon Crest Dr Bldg 100, Suite 103, Riverside, CA 92507-6301 | 2008-01-28 |
| 1508906181 | Ellison Chang | Psychiatry & Neurology | 9990 County Farm Rd # S-3, S-3, Riverside, CA 92503-3542 | 2007-02-06 |
| 1093873978 | Terry P Petersen | Psychiatry & Neurology | 9890 County Farm Rd Ste 1, Riverside, CA 92503-3505 | 2006-12-04 |
| 1952478596 | Quality Life Psychiatric & Psychological Group, Inc. | Psychiatry & Neurology | 6529 Riverside Ave, Suite 133, Riverside, CA 92506-3122 | 2006-11-29 |
| 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.