Active NPI
Craig Alexander Brewick, REV. PH.D
- Pastoral Counselor
- Citrus Heights, CA
National Provider Identifier
1265959696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 2572
- Practice address
- 7607 Garden Gate Dr
Citrus Heights, CA 95621-1911 - Phone
- (916) 769-4673
- NPI assigned
- Aug 25, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 2572 | Primary |
Addresses
Primary practice location
7607 Garden Gate Dr
Citrus Heights, CA 95621-1911
Mailing address
180 River Ridge Way
Folsom, CA 95630-1856
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503619200000",
"number": "1265959696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 RIVER RIDGE WAY",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956301856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7607 GARDEN GATE DR",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956211911",
"telephone_number": "916-769-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWICK",
"first_name": "CRAIG",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "REV. PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-25",
"last_updated": "2017-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": "2572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
- Brea Citrus Heights, LLC (Brookdale Sylvan Ranch)
- Brea Village Citrus Heights, LLC (Emeritus at Citrus Heights)
- Anna Rose Brennan
- James E Brentt, PHD
- Eric Brewer
- Anthony Robert Bricchetti, PHARM. D
- Bridges Behavioral Language Systems, Inc.
- Noelani Brisbane, OTR/L
- Susan Lee Bristow, PHARMD
- Jared Alexander Brokloff
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.