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RIVERSIDE PSYCH MED GROUP
NPI 1972691228
Clinic/Center - Mental Health (Including Community Mental Health Center) in Riverside, CA

Active since October 11, 2006CLIA 05D2162307 · Waiver
5887 BROCKTON AVE, STE A RIVERSIDE PSYCHIATRIC MEDICAL GROUP, RIVERSIDE, CA 92506(951) 275-8500(951) 275-8560 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riverside Psych Med Group NPPES

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

RIVERSIDE PSYCH MED GROUP (NPI 1972691228) is a healthcare organization registered as a mental health (including community mental health center) in Riverside, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Robert B. Summerour, Owner, as its authorized official.

NPPES Registry Identity

NPI1972691228
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRIVERSIDE PSYCHIATRIC MEDICAL GROUP
Location Address5887 BROCKTON AVE, STE A RIVERSIDE PSYCHIATRIC MEDICAL GROUPRiverside, CA 92506
Mailing Address5887 Brockton Ave, Ste A Riverside Psychiatric Medical GroupRiverside, CA 92506 · (951) 275-8500 · Fax (951) 275-8560
Phone(951) 275-8500
Fax(951) 275-8560
Organization SubpartNo
Authorized OfficialRobert B. SummerourOwner · (951) 275-8500
Enumeration DateOctober 11, 2006
Last NPPES UpdateDecember 20, 2013
✔ NPI 1972691228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
5887 BROCKTON AVE, Riverside, CA 92506
Open in Google Maps ↗

Other Names 1

Other NameRiverside Psych Med Group

Other Identifiers 1

Medicare PINZZZ01005ZCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2162307

Riverside Psychiatric Medical Group · Riverside, CA
Active · expires Feb 19, 2027
CLIA Number05D2162307
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorRobert B. Summerour
Laboratory Phone(951) 275-8500
Laboratory LocationRiverside Psychiatric Medical Group5887 Brockton Avenue, Suite A, Riverside, CA 92506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Riverside Psychiatric Medical Group's NPI number?

The NPI number for Riverside Psychiatric Medical Group is 1972691228. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is also known as Riverside Psych Med Group.

Where is Riverside Psychiatric Medical Group located?

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

What is Riverside Psychiatric Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Riverside Psychiatric Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2162307) is associated with this NPI, valid through February 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Riverside Psychiatric Medical Group was last updated on December 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.