Individual provider Active NPI

Brandon Weinstock, MS, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Redding, CA
National Provider Identifier
1396380705
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95013215 Issued in CA
Practice address
2640 Breslauer Way
Redding, CA 96001-4246
Phone
(530) 225-5200
NPI assigned
Nov 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95013215 CA Primary

Addresses

Primary practice location

2640 Breslauer Way
Redding, CA 96001-4246

Mailing address

1534 Ridge Dr
Redding, CA 96001-2214
Phone (513) 939-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200102001328 CA Practitioner - Nurse Practitioner 2466886205 Reassigns benefits to 2 organizations
I20260226000206 TX Practitioner - Nurse Practitioner 2466886205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ShastaGroup PAC ID 8820081581, 12 clinicians

Practice addresses (Care Compare)

2640 Breslauer Way
Redding, CA 96001-4246
Phone (530) 225-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center CurrentSince Oct 28, 2019 Accepting new patients
Shasta Community Health Center CurrentSince Oct 28, 2019 Accepting new patients
County of Shasta CurrentSince Feb 1, 2023 Accepting new patients
County of Shasta CurrentSince Feb 1, 2023 Accepting new patients
Shasta Community Health Center Current Accepting new patients
Rolling Hills Clinic CurrentSince Jan 28, 2026 Accepting new patients
Good Vibes Psychiatry Nursing Corp. Psychiatric/Mental Health CurrentSince Jul 7, 2024 Accepting new patients
Rolling Hills Clinic Past Accepting new patients

Locations

740 Solano St
Corning, CA 96021
Phone (530) 690-2827

2540 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 528-8899

1035 Placer St
Redding, CA 96001

2640 Breslauer Way
Redding, CA 96001
Phone (530) 225-5252

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1396380705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 RIDGE DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012214",
            "telephone_number": "513-939-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 BRESLAUER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014246",
            "telephone_number": "530-225-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTOCK",
        "first_name": "BRANDON",
        "credential": "MS, RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.