George Dabdoub, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY31250 Issued in CA

Practice address

6117 Brockton Ave Ste 202
Riverside, CA 92506-2207

Phone

(951) 224-9418

NPI assigned

Sep 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bellator Psychological and Consultants CorporationGroup PAC ID 0840655015, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bellator Psychological and Consultants Corporation

  • Psychologist
  • Riverside, CA
  • NPI 1962124941
  Medicare reassignment Care Compare group NPD Authorized official
• Alo Ha Psychological Associates Inc.

  • Psychologist
  • San Diego, CA
  • NPI 1770918674
  NPD (past)
• Eye Institute of California Medical Group Inc

  • Ophthalmology Physician
  • Chula Vista, CA
  • NPI 1427059336

  Multi-Specialty

  NPD (past)
• Moeller-Bertram Medical Corporation

  • Pain Medicine Physician
  • Rancho Mirage, CA
  • NPI 1699586388

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1730739079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 BROCKTON AVE STE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 BROCKTON AVE STE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062207",
            "telephone_number": "951-224-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABDOUB",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent W D'Arc, M.D.
• Carol Virginia D'Arco, RN
• Zaid Dababneh, MD
• Kaye S Dabbs-Moyer, M.D.
• Erma J Dabbs
• Lerma Maloma Dacasin, FNP-C
• Garni Dadaian, DO
• Angelina Dado
• Dhiraj Dadwal, NEMT
• Christopher Dael

• Psychologist in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.