Active NPI
Joshua Craig, PSYD
- Clinical Psychologist
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30442
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30442 | CA | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Optum Behavioral Care of California, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of California, P.C. | Current | Accepting new patients | |
| Department of State Hospitals | Forensic | Current | 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
- 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.
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
- Clinical Psychologist
- Rancho Cucamonga, CA
- NPI 1417718297
-
- Clinical Social Worker
- Costa Mesa, CA
- NPI 1447137740
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.