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ANTONIUS D BRANDON PHD
NPI 1790889863
Clinical Neuropsychologist in Riverside, CA

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
5887 BROCKTON AVE, RIVERSIDE PSYCHIATRIC MEDICAL GROUP STE A, RIVERSIDE, CA 92506(951) 275-8500(951) 275-8560 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Antonius D Brandon Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIUS D BRANDON PHD (NPI 1790889863) is an individual clinical neuropsychologist in Riverside, California, licensed in California (PSY12281) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1790889863
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameANTONIUS D BRANDONCredential: PHD
Location Address5887 BROCKTON AVE, RIVERSIDE PSYCHIATRIC MEDICAL GROUP STE ARiverside, CA 92506
Mailing Address5887 Brockton Ave, Riverside Psychiatric Medical Group Ste ARiverside, CA 92506 · (951) 275-8500 · Fax (951) 275-8560
Phone(951) 275-8500
Fax(951) 275-8560
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateSeptember 11, 2006
Last NPPES UpdateApril 29, 2008
✔ NPI 1790889863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY12281
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
5887 BROCKTON AVE, Riverside, CA 92506
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS07114
Medicare ID-Type UnspecifiedOPL122810CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonius D Brandon Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153486972
PECOS Enrollment IDI20090211000462
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Antonius Brandon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Psychiatric Medical Group
Same address
Mental Health (Including Community Mental Health Center)
5887 BROCKTON AVE, STE A RIVERSIDE PSYCHIATRIC MEDICAL GROUP
Riverside, CA 92506
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1972691228 (951) 275-8500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
152 services27 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDRIUS BASKYS MD
Psychiatry & Neurology (Psychiatry)
5887 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Riverside County (951) 275-8500
KATHRYN VIRGINIA MANTZ PHD
Psychologist
5887 BROCKTON AVE, RIVERSIDE PSYCHIATRIC MEDICAL GROUP STE A
RIVERSIDE, CA 92506
Riverside County (951) 275-8500
JESSICA NICOLE MILLAN NP
Nurse Practitioner (Psychiatric/Mental Health)
5887 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 275-8500
APRIL GUSTAFSON
Nurse Practitioner (Psychiatric/Mental Health)
5887 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 907-4183
MS. MELISSA GENON MYERS LCSW
Counselor (Mental Health)
5887 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 275-8500
LAURA GEORGINA VALDOVINOS MD
Psychiatry & Neurology (Psychiatry)
5887 BROCKTON AVE, SUITE A RIVERSIDE PSYCHIATRIC MEDICAL GROUP
RIVERSIDE, CA 92506
Riverside County (951) 275-8500
SCOTT VELTRE MSN, PMHNP
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
5887 BROCKTON AVE, SUITE A
RIVERSIDE, CA 92506
Riverside County (951) 275-8500
MRS. CAROL J. APPLETON P.T.
Physical Therapist
5887 BROCKTON AVE, SUITE B
RIVERSIDE, CA 92506
Riverside County (951) 781-3672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonius Brandon's NPI number?

The NPI number for Antonius Brandon is 1790889863. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Antonius Brandon located?

Antonius Brandon practices at 5887 Brockton Ave Riverside Psychiatric Medical Group Ste A, Riverside, CA 92506. The listed phone number is (951) 275-8500.

What is Antonius Brandon's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Antonius Brandon enrolled in Medicare?

Yes. Antonius Brandon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Antonius Brandon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonius Brandon reassigns Medicare benefits to Riverside Psychiatric Medical Group (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonius Brandon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Antonius Brandon was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.