| Riverside Psych Med Group | |
|
5887 Brockton Ave Ste A Riverside Psychiatric Medical Group Riverside CA 92506 | |
| (951) 275-8500 | |
| (951) 275-8560 |
| Full Name | Riverside Psych Med Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 5887 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Robert B. Summerour (OWNER) |
| Authorized Official Contact | 9512758500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Psych Med Group 5887 Brockton Ave Ste A Riverside Psychiatric Medical Group Riverside CA 92506 Ph: (951) 275-8500 | Riverside Psych Med Group 5887 Brockton Ave Ste A Riverside Psychiatric Medical Group Riverside CA 92506 Ph: (951) 275-8500 |
| NPI Number | 1972691228 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 12/20/2013 |
| Medicare PECOS PAC ID | 8426956954 |
|---|---|
| Medicare Enrollment ID | O20031222000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972691228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Camille S Reineke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336243401 PECOS PAC ID: 5395643761 Enrollment ID: I20031222000904 |
| Provider Name | Sabrina L Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194889519 PECOS PAC ID: 0143321166 Enrollment ID: I20070720000566 |
| Provider Name | Robert Summerour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811085160 PECOS PAC ID: 7810807682 Enrollment ID: I20090130000167 |
| Provider Name | Antonius Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790889863 PECOS PAC ID: 1153486972 Enrollment ID: I20090211000462 |
| Provider Name | Andrius Baskys |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124110069 PECOS PAC ID: 1759578347 Enrollment ID: I20101208000780 |
| Provider Name | Laura Marie De La Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821316399 PECOS PAC ID: 6103075601 Enrollment ID: I20120926000831 |
| Provider Name | Ronald Offenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811091978 PECOS PAC ID: 4688866072 Enrollment ID: I20121031000332 |
| Provider Name | Sukh Dev Singh Khalsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881978682 PECOS PAC ID: 9638458813 Enrollment ID: I20161110000837 |
| Provider Name | Karen Esther Meske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336600410 PECOS PAC ID: 9931434354 Enrollment ID: I20190708001911 |
| Provider Name | Jessica Nicole Rodello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184270381 PECOS PAC ID: 4284043142 Enrollment ID: I20210505000429 |
| Provider Name | Tarra Elizabeth Mandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770178097 PECOS PAC ID: 7113469701 Enrollment ID: I20240611002279 |
Angel Of Faith Non Profit Organization Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-500-2774 Fax: 951-358-0762 | |
Adom Telepsychiatry And Mental Health Services A Professional Nur Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4199 Flat Rock Dr Ste 148, Riverside, CA 92505 Phone: 951-707-7471 | |
Citrus City Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 130, Riverside, CA 92506 Phone: 951-203-8737 | |
Raincross Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 130, Riverside, CA 92506 Phone: 661-992-2650 Fax: 951-406-4377 | |
Ucan Feel Better, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4033 Mt Vernon Ave, Riverside, CA 92507 Phone: 951-848-4026 | |
Foundation For Growth Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4193 Flat Rock Dr Ste 200, Riverside, CA 92505 Phone: 949-510-8055 | |
Telepsychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3075 Myers St, Riverside, CA 92503 Phone: 951-358-6895 |