Michael Craig Cowick, CADC-CAS

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

C23961214 Issued in CA

Practice address

12531 Harbor Blvd Ste G
Garden Grove, CA 92840-5824

Phone

(714) 638-5008

NPI assigned

Dec 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mike Cowick Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1740796564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8633 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203852",
            "telephone_number": "714-527-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12531 HARBOR BLVD STE G",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405824",
            "telephone_number": "714-638-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWICK",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "credential": "CADC-CAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C23961214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "COWICK",
            "credential": "CADC-CAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carlos Isaiah Covarrubias
• Cristina Covarrubias
• Kimberly Covarrubias, SUDRC
• Zakiah J Cowan
• Sederick Cowart, RBT-24-388409
• Kelsea C Cox-Bain
• Julia Cox-Kruger
• Madison Cox
• Sarah Katherine Cox
• Timothy Cox Jr.

• Addiction (Substance Use Disorder) Psychologist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Addiction (Substance Use Disorder) Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.