Bellator Psychological and Consultants Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BELLATOR PSYCHOLOGICAL AND CONSULTANTS CORPORATION

Practice address

3610 Central Ave Ste 400
Riverside, CA 92506-5907

Phone

(858) 583-6188

Fax

(951) 224-9900

NPI assigned

Sep 15, 2022

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Dabdoub, PSY.D.NPI 1730739079

Title

President

Phone

(858) 583-6197

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Dabdoub, PSY.D.

  • Psychologist
  • Mission Viejo, CA
  • NPI 1730739079
  Medicare reassignment Care Compare group NPD Authorized official
• Alan Acre

  • Psychologist
  • Riverside, CA
  • NPI 1013612811
  Medicare reassignment Care Compare group NPD
• Kassandra Estrella

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1780247981
  NPD
• Melissa Bobie

  • Clinical Social Worker
  • Orange, CA
  • NPI 1427560812
  NPD (past)
• Ruben Daniel Gutierrez, MA, MFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1669021713
  NPD (past)
• Alicia Rodriguez Perez, LCSW

  • Clinical Social Worker
  • Victorville, CA
  • NPI 1932533213

  Mental Health

  NPD (past)
• Sara Michele Phillips, APCC 15753

  • Professional Counselor
  • San Dimas, CA
  • NPI 1730736026

  Mental Health

  NPD (past)
• Susannah Lynn Vandyke, M.A.

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1427409572
  NPD (past)

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1962124941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23361 MADERO STE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912715",
            "telephone_number": "858-583-6188",
            "fax_number": "951-224-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 CENTRAL AVE STE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065907",
            "telephone_number": "858-583-6188",
            "fax_number": "951-224-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8799 Balboa Ave Ste 255",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231581",
            "country_code": "US",
            "telephone_number": "858-583-6188",
            "fax_number": "951-224-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4849 Ronson Ct Ste 207",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111805",
            "country_code": "US",
            "telephone_number": "858-583-6188",
            "fax_number": "951-224-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23361 Madero Ste 210",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926912715",
            "country_code": "US",
            "telephone_number": "858-583-6188",
            "fax_number": "951-224-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BELLATOR PSYCHOLOGICAL AND CONSULTANTS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "DABDOUB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-583-6197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Sisak Beljaev
• Alfred Russell Bell
• Evelyn Bell
• Bella Vita Congregate Living, LLC
• Imani Bellamy
• Kimberly Belleza
• Opeyemi Adunni Bello, NP
• Brianna Elena Belmontez
• Brenn Belone, MD
• Beltone of Riverside

• 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 Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.