Brockton Investments & Associates, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

BROCKTON INVESTMENTS & ASSOCIATES, LLC

Doing business as

Riverside Center for Behavioral Medicine

Practice address

5900 Brockton Ave
Riverside, CA 92506-1862

Phone

(951) 275-8400

Fax

(951) 786-0527

NPI assigned

Feb 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Garron Haycock

Title

Supervisor

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other names 1

• Riverside Center for Behavioral Medicine Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1306168430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212780",
            "telephone_number": "423-308-1845",
            "fax_number": "423-308-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061862",
            "telephone_number": "951-275-8400",
            "fax_number": "951-786-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKTON INVESTMENTS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "HAYCOCK",
        "authorized_official_first_name": "GARRON",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "423-308-1845"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Center for Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronny Angeline Brock
• Brendon Douglas Brockmann, MD
• Lynne M Brockmeier
• Brockton Dental X-Ray Lab., Inc.
• Brockton Endoscopy Surgery Center LP
• Brockton Surgical Center
• Divine Grace Fernandez Broich
• Aijalon Benet Brooks
• Byron Brooks, MHRS
• Cleveland Malcolm Brooks

• Psychiatric Hospital in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.