Individual provider Active NPI

Joshua Craig, PSYD

  • Clinical Psychologist
  • Riverside, CA
National Provider Identifier
1821601451
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30442 Issued in CA
Practice address
1660 Chicago Ave Ste M17
Riverside, CA 92507-2033
Phone
(310) 696-9019
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PSY30442 CA
Clinical Psychologist 103TC0700X PSY30442 CA Primary

Addresses

Primary practice location

1660 Chicago Ave Ste M17
Riverside, CA 92507-2033

Mailing address

1660 Chicago Ave Ste M17
Riverside, CA 92507-2033
Phone (310) 696-9019

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcraig@sharperfuture.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230815002948 CA Practitioner - Clinical Psychologist 0749642213 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY30442CAMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Sep 16, 2023 Accepting new patients
Department of State Hospitals Current Accepting new patients
Optum Behavioral Care of California, P.C. Clinical CurrentSince Jun 1, 2024 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Department of State Hospitals Forensic CurrentSince Sep 16, 2023 Accepting new patients

Locations

2555 E Colorado Blvd
Ste 101
Pasadena, CA 91107
Phone (909) 898-4055

2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Interoperability endpoints

  • Direct secure messaging: joshua.craig.1@28621.direct.athenahealth.com

Organizations & group practices 5

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1821601451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 CHICAGO AVE STE M17",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072033",
            "telephone_number": "310-696-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 CHICAGO AVE STE M17",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072033",
            "telephone_number": "310-696-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY30442",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcraig@sharperfuture.com",
            "affiliation": "N",
            "address_1": "1660 Chicago Ave Ste M17",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925072033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.