Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BELLATOR PSYCHOLOGICAL AND CONSULTANTS CORPORATION
NPI 1962124941
Psychologist in Riverside, CA

Active since September 15, 2022
3610 CENTRAL AVE STE 400, RIVERSIDE, CA 92506(858) 583-6188(951) 224-9900 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, May 8, 2026, Mar 2, 2023 and 3 more (6 updates tracked since 2022).

About Bellator Psychological And Consultants Corporation NPPES

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

BELLATOR PSYCHOLOGICAL AND CONSULTANTS CORPORATION (NPI 1962124941) is a healthcare organization registered as a psychologist in Riverside, California and active in the NPI registry since September 2022. The organization maintains 3 additional practice locations and lists George Dabdoub, President, as its authorized official.

NPPES Registry Identity

NPI1962124941
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameBELLATOR PSYCHOLOGICAL AND CONSULTANTS CORPORATION
Location Address3610 CENTRAL AVE STE 400Riverside, CA 92506-5907
Mailing Address23361 Madero Ste 210Mission Viejo, CA 92691-2715 · (858) 583-6188 · Fax (951) 224-9900
Fax(951) 224-9900
Organization SubpartNo
Authorized OfficialGeorge DabdoubPresident · (858) 583-6197
Enumeration DateSeptember 15, 2022
Last NPPES UpdateOctober 1, 20266 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1962124941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
3610 CENTRAL AVE STE 400, Riverside, CA 92506

Secondary Practice Locations 3

Location 18799 Balboa Ave Ste 255San Diego, CA 92123-1581 · Phone (858) 583-6188 · Fax (951) 224-9900
Location 24849 Ronson Ct Ste 207San Diego, CA 92111-1805 · Phone (858) 583-6188 · Fax (951) 224-9900
Location 323361 Madero Ste 210Mission Viejo, CA 92691-2715 · Phone (858) 583-6188 · Fax (951) 224-9900

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bellator Psychological And Consultants Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bellator Psychological And Consultants Corporation, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1013612811
6117 BROCKTON AVE
Riverside, CA 92506
(951) 206-1605
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Psychologist
NPI 1730739079
23361 MADERO STE 210
Mission Viejo, CA 92691
(858) 583-6188
✔ PECOS✔ Accepts Medicare28 mi

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

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 Bellator Psychological And Consultants Corporation's NPI number?

The NPI number for Bellator Psychological And Consultants Corporation is 1962124941. It was assigned to this organization in the NPPES registry on September 15, 2022.

Where is Bellator Psychological And Consultants Corporation located?

Bellator Psychological And Consultants Corporation is located at 3610 Central Ave Ste 400, Riverside, CA 92506. The listed phone number is (858) 583-6188.

What is Bellator Psychological And Consultants Corporation's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Bellator Psychological And Consultants Corporation enrolled in Medicare?

Yes. Bellator Psychological And Consultants Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bellator Psychological And Consultants Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Bellator Psychological And Consultants Corporation. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bellator Psychological And Consultants Corporation was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.