Active NPI
Craig Beeson, PHD
- Counseling Psychologist
- Santa Cruz, CA
National Provider Identifier
1033776810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 24970
- Practice address
- 412 Cedar St Ste B
Santa Cruz, CA 95060-4369 - Phone
- (831) 218-5040
- NPI assigned
- May 28, 2019
- Last updated
- Jun 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 24970 | CA | Primary |
Addresses
Primary practice location
412 Cedar St Ste B
Santa Cruz, CA 95060-4369
Mailing address
122 Camino Venado LN
Soquel, CA 95073-9607
Phone (909) 731-7706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24970 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Clinical Psychiatry Ca PC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1033776810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 CAMINO VENADO LN",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950739607",
"telephone_number": "909-731-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 CEDAR ST STE B",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604369",
"telephone_number": "831-218-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEESON",
"first_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "24970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.