Cerebral Medical Group, a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CEREBRAL MEDICAL GROUP, A PROFESSIONAL CORPORATION

Practice address

330 N Brand Blvd
Glendale, CA 91203-2308

Phone

(628) 263-3658

Fax

(628) 263-3658

NPI assigned

Sep 12, 2019

Last updated

Aug 31, 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

Michael Nathan Boggs, MDNPI 1891038824

Title

President

Phone

(802) 989-4546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations (25 of 53)

Practitioners 72

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.

• Joyce Aiyeojenku

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1780295485
  Medicare reassignment NPD
• Michael Besong Akwo-Adelowo

  • Psychiatric/Mental Health Nurse Practitioner
  • Forney, TX
  • NPI 1881235646
  Medicare reassignment NPD
• Laurel Eve Blackman, D.O., M.B.A.

  • Psychiatry Physician
  • Rockport, ME
  • NPI 1194752576

  TX

  Medicare reassignment NPD
• Kendra S Burton-Harris, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1407256530
  Medicare reassignment NPD
• Elizabeth Copes, LCSW

  • Clinical Social Worker
  • Ore City, TX
  • NPI 1578749479
  Medicare reassignment NPD
• Katrina Coulter, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1184255325
  Medicare reassignment NPD
• Sheila Dyer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • The Woodlands, TX
  • NPI 1619332756
  Medicare reassignment NPD
• Elizabeth Nnenna Emeri, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1649897174
  Medicare reassignment NPD
• Olapeju Fakeye

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
  • NPI 1124642327
  Medicare reassignment NPD
• Danielle Elana Gipson

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1518447911

  Single Specialty

  Medicare reassignment NPD
• Erin Haytaian, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Argyle, TX
  • NPI 1801149968
  Medicare reassignment NPD
• Daniel Alan Hill, APRN,PMHNP-BC,FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, NC
  • NPI 1144801747

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1992355879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 PHILADELPHIA PIKE # 9898",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032424",
            "telephone_number": "628-263-3658",
            "fax_number": "628-263-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032308",
            "telephone_number": "628-263-3658",
            "fax_number": "628-263-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL MEDICAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-989-4546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Surgery Center of Glendale
• Central Surgical Center PC a California Professional Medical Co
• Cep America - Neurology PC (Vituity)
• Vahan Cepkinian, M.D.
• Cerebral Investments, Inc (DBA Burbank Glendale Chiropractic)
• Adrian Cerritos
• Jessica Cervantes, MS, BCBA
• Sydney Cervantes
• Cesar a Caldera MD Inc
• Maria Ofelia Cesare, D.D.S.

• Psychiatry Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.