CEREBRAL MEDICAL GROUP, A PROFESSIONAL CORPORATION
NPI 1992355879
Psychiatry & Neurology - Psychiatry in Glendale, CA

Active since September 12, 2019
330 N BRAND BLVD, GLENDALE, CA 91203(628) 263-3658(628) 263-3658 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2026, Oct 9, 2025, May 22, 2025 and 4 more (7 updates tracked since 2019).

About Cerebral Medical Group, A Professional Corporation NPPES

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

CEREBRAL MEDICAL GROUP, A PROFESSIONAL CORPORATION (NPI 1992355879) is a healthcare organization registered as a psychiatry in Glendale, California and active in the NPI registry since September 2019. The organization lists Michael Nathan Boggs, President, as its authorized official.

NPPES Registry Identity

NPI1992355879
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCEREBRAL MEDICAL GROUP, A PROFESSIONAL CORPORATION
Location Address330 N BRAND BLVDGlendale, CA 91203-2308
Mailing Address2093 Philadelphia Pike # 9898Claymont, DE 19703-2424 · (628) 263-3658 · Fax (628) 263-3658
Fax(628) 263-3658
Organization SubpartNo
Authorized OfficialMichael Nathan BoggsPresident · (802) 989-4546
Enumeration DateSeptember 12, 2019
Last NPPES UpdateAugust 31, 20267 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1992355879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
330 N BRAND BLVD, Glendale, CA 91203

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cerebral Medical Group, A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20210303000840Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Cerebral Medical Group, A Professional Corporation, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner25
Clinical Social Worker1
Emergency Medicine1
Family Practice1
Psychiatry1

Nearest to this location (20)

See all 29
Nurse Practitioner
NPI 1144687047
4500 E PACIFIC COAST HWY STE 320
Long Beach, CA 90804
(925) 282-1778
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1598387425
13280 EVENING CREEK DR S STE 225
San Diego, CA 92128
(877) 257-0637
✔ PECOS106 mi
Nurse Practitioner
NPI 1376925974
3900 FIFTH AVE STE 110
San Diego, CA 92103
(858) 554-1212
✔ PECOS✔ Accepts Medicare115 mi
Nurse Practitioner
NPI 1922695501
2261 MARKET ST STE 10222
San Francisco, CA 94114
(415) 360-3348
✔ PECOS✔ Accepts Medicare342 mi
Nurse Practitioner
NPI 1124685045
16201 E INDIANA AVE STE 3260
Spokane Valley, WA 99216
(509) 495-1810
✔ PECOS✔ Accepts Medicare934 mi
Nurse Practitioner
NPI 1184255325
3840 HULEN ST
Fort Worth, TX 76107
(817) 335-3022
✔ PECOS1,208 mi
Nurse Practitioner
NPI 1518447911
3840 HULEN ST
Fort Worth, TX 76107
(214) 569-4300
✔ PECOS✔ Accepts Medicare1,208 mi
Nurse Practitioner
NPI 1801149968
7104 EAGLES NEST CT
Argyle, TX 76226
(214) 929-2757
✔ PECOS1,213 mi
Nurse Practitioner
NPI 1396330478
2107 PRESIDIO CIR
Euless, TX 76040
(817) 946-9053
✔ PECOS✔ Accepts Medicare1,222 mi
Nurse Practitioner
NPI 1063943421
5900 BALCONES DR # 18487
Austin, TX 78731
(281) 865-7469
✔ PECOS✔ Accepts Medicare1,227 mi
Nurse Practitioner
NPI 1780295485
6102 SKILLMAN ST STE 110
Dallas, TX 75231
(214) 335-3867
✔ PECOS✔ Accepts Medicare1,243 mi
Nurse Practitioner
NPI 1881235646
1512 CALCOT LN
Forney, TX 75126
(469) 212-6565
✔ PECOS1,263 mi
Nurse Practitioner
NPI 1265023881
6641 TOWER CT
Tyler, TX 75703
(903) 918-8569
✔ PECOS✔ Accepts Medicare1,331 mi
Nurse Practitioner
NPI 1720420227
1325 MAIN ST STE 802
Katy, TX 77494
(346) 584-3632
✔ PECOS✔ Accepts Medicare1,349 mi
Clinical Social Worker
NPI 1578749479
13283 HWY 155N
Ore City, TX 75683
(903) 968-4641
✔ PECOS✔ Accepts Medicare1,356 mi
Nurse Practitioner
NPI 1619332756
8701 NEW TRAILS DR STE 150
The Woodlands, TX 77381
(281) 367-1015
✔ PECOS✔ Accepts Medicare1,360 mi
Nurse Practitioner
NPI 1497204267
803 CULPEPPER DR
Rosenberg, TX 77469
(832) 451-6120
✔ PECOS1,360 mi
Family Practice
NPI 1639311509
835 MASON ST STE A250
Dearborn, MI 48124
(313) 355-8657
✔ PECOS1,971 mi
Emergency Medicine
NPI 1730177387
7301 PENN AVE
Pittsburgh, PA 15208
(412) 517-3000
✔ PECOS2,140 mi
Psychiatry
NPI 1194752576
6 GLEN COVE DR
Rockport, ME 04856
(512) 228-2441
✔ PECOS2,687 mi
See all 29 clinicians

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 Cerebral Medical Group, A Professional Corporation's NPI number?

The NPI number for Cerebral Medical Group, A Professional Corporation is 1992355879. It was assigned to this organization in the NPPES registry on September 12, 2019.

Where is Cerebral Medical Group, A Professional Corporation located?

Cerebral Medical Group, A Professional Corporation is located at 330 N Brand Blvd, Glendale, CA 91203. The listed phone number is (628) 263-3658.

What is Cerebral Medical Group, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Cerebral Medical Group, A Professional Corporation enrolled in Medicare?

Yes. Cerebral Medical Group, A Professional Corporation is registered in the Medicare PECOS enrollment system.

When is Cerebral Medical Group, A Professional Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cerebral Medical Group, A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 5 Medicare specialties reassign their Medicare billing to Cerebral Medical Group, A Professional 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. The largest specialties are Nurse Practitioner (25), Clinical Social Worker (1) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cerebral Medical Group, A Professional Corporation accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas and Cigna HealthCare of Arizona, Inc and 2 other insurers list Cerebral Medical Group, A Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cerebral Medical Group, A Professional Corporation was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.