Cerebral Medical Group, A Professional Corporation - Medicare Mental Health Clinic in Glendale, CA

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Cerebral Medical Group, A Professional Corporation is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Glendale, California. The current practice location for Cerebral Medical Group, A Professional Corporation is 330 N Brand Blvd, Glendale, California. For appointments, you can reach them via phone at (415) 830-5946. The mailing address for Cerebral Medical Group, A Professional Corporation is 2093 Philadelphia Pike # 9898, Claymont, Delaware and phone number is (415) 830-5946.

Cerebral Medical Group, A Professional Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992355879. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (415) 830-5946.

Contact Information

Cerebral Medical Group, A Professional Corporation
330 N Brand Blvd
Glendale
CA 91203-2308
(415) 830-5946
(415) 651-3458

Map and Direction


Mental Health Clinic Profile

Full NameCerebral Medical Group, A Professional Corporation
SpecialityPsychiatry & Neurology
Location330 N Brand Blvd, Glendale, California
Authorized Official Name and PositionMichael Boggs (PRESIDENT)
Authorized Official Contact4158305946
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cerebral Medical Group, A Professional Corporation
2093 Philadelphia Pike # 9898
Claymont
DE 19703-2424

Ph: (415) 830-5946		Cerebral Medical Group, A Professional Corporation
330 N Brand Blvd
Glendale
CA 91203-2308

Ph: (415) 830-5946

NPI Details:

NPI Number1992355879
Provider Enumeration Date09/12/2019
Last Update Date02/27/2024
Certification Date02/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6709206238
Medicare Enrollment IDO20210303000840

Medical Identifiers

Medical identifiers for Cerebral Medical Group, A Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992355879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cerebral Medical Group, A Professional Corporation acts as a billing entity for following providers:
Provider NameKymberli Tremayne Williams Zeno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417041229
PECOS PAC ID: 5597730622
Enrollment ID: I20040831001497
Provider NameRade B Vukmir
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1730177387
PECOS PAC ID: 5395659098
Enrollment ID: I20061030000560
Provider NameLaurel Blackman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194752576
PECOS PAC ID: 5294816773
Enrollment ID: I20080123000152
Provider NameElizabeth C. Copes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578749479
PECOS PAC ID: 8123102035
Enrollment ID: I20080229000423
Provider NameErin Haytaian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801149968
PECOS PAC ID: 5395996854
Enrollment ID: I20121108000636
Provider NameKendra S Burton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407256530
PECOS PAC ID: 8820310048
Enrollment ID: I20141125000910
Provider NameAdanna U Oladejo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720420227
PECOS PAC ID: 6901040567
Enrollment ID: I20161003001237
Provider NameKristen Nicole Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063943421
PECOS PAC ID: 1153697982
Enrollment ID: I20171024000666
Provider NameClara Osakwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497204267
PECOS PAC ID: 1153682026
Enrollment ID: I20180312000570
Provider NameDawn Biddulph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851878102
PECOS PAC ID: 6204185598
Enrollment ID: I20180820002641
Provider NameDanielle Elana Gipson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518447911
PECOS PAC ID: 8426395948
Enrollment ID: I20190122003088
Provider NameMichael Besong Akwo-adelowo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881235646
PECOS PAC ID: 4284066291
Enrollment ID: I20191113001248
Provider NameKatrina Coulter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184255325
PECOS PAC ID: 2668801481
Enrollment ID: I20200330003714
Provider NameKelly Ann Waldvogel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023668803
PECOS PAC ID: 8820428592
Enrollment ID: I20200420002930
Provider NameApril Murrieta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265995237
PECOS PAC ID: 5496176125
Enrollment ID: I20200604000284
Provider NameSheila Dyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619332756
PECOS PAC ID: 3476857855
Enrollment ID: I20201119002348
Provider NameKabiite Mukisa Okello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144818139
PECOS PAC ID: 2567875321
Enrollment ID: I20210115001406
Provider NameCarey L Krause
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457764672
PECOS PAC ID: 1658591474
Enrollment ID: I20210126001057
Provider NameElizabeth Nnenna Emeri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649897174
PECOS PAC ID: 1355757857
Enrollment ID: I20210308002802
Provider NameOlapeju Fakeye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124642327
PECOS PAC ID: 2163838251
Enrollment ID: I20210316001393
Provider NameAmber N Lockman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265023881
PECOS PAC ID: 9335548882
Enrollment ID: I20210603000722
Provider NameJoyce Aiyeojenku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780295485
PECOS PAC ID: 6608038393
Enrollment ID: I20210809001476
Provider NameSajad Zalzala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639311509
PECOS PAC ID: 5092962209
Enrollment ID: I20211105002031
Provider NameAdriana Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033715107
PECOS PAC ID: 4284041591
Enrollment ID: I20211105002114
Provider NameBrandi Rhoads
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396320461
PECOS PAC ID: 1658760806
Enrollment ID: I20211110001086
Provider NameDaniel Alan Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144801747
PECOS PAC ID: 8426447384
Enrollment ID: I20211115001326
Provider NameLyssa Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184243628
PECOS PAC ID: 5092130377
Enrollment ID: I20211116001172
Provider NameSamantha H Juniker
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619540937
PECOS PAC ID: 9133519630
Enrollment ID: I20211123002469
Provider NameJeffrey Vernon
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376786004
PECOS PAC ID: 1052447109
Enrollment ID: I20211123003258
Provider NameJohnny E Liner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124685045
PECOS PAC ID: 3173857208
Enrollment ID: I20211216000960
Provider NameAbiodun Adebisi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245714963
PECOS PAC ID: 3678800307
Enrollment ID: I20211223001329
Provider NameEmmanuel K Nji
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831793710
PECOS PAC ID: 4587077599
Enrollment ID: I20220104000288
Provider NameShelly Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396330478
PECOS PAC ID: 0042608556
Enrollment ID: I20220105002956
Provider NameJeanette Marjorie Shanholtzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598926230
PECOS PAC ID: 8921347568
Enrollment ID: I20220112002553
Provider NameTyisha Fletcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144687047
PECOS PAC ID: 4981909827
Enrollment ID: I20220113001461
Provider NameShalita Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396214060
PECOS PAC ID: 1153662283
Enrollment ID: I20220118002746
Provider NameChristopher Betley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922695501
PECOS PAC ID: 9537569777
Enrollment ID: I20220121000487
Provider NameGina Rigsbee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598387425
PECOS PAC ID: 5496167934
Enrollment ID: I20220125002780
Provider NameAmmara Chaudhry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407432719
PECOS PAC ID: 0648662569
Enrollment ID: I20220201000640
Provider NameMeagan Petrek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376925974
PECOS PAC ID: 8022323195
Enrollment ID: I20220222002545

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.