Active NPI
Christopher Stanwick, SUDCCIII-CS
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1902321334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 6077
- Practice address
- 3990 Branch Center Rd
Sacramento, CA 95827-3809 - Phone
- (916) 308-1054
- NPI assigned
- Aug 7, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6077 | CA | Primary |
Addresses
Primary practice location
3990 Branch Center Rd
Sacramento, CA 95827-3809
Mailing address
3434 Marconi Ave
Sacramento, CA 95821-6242
Phone (916) 308-1054
Other practice location 1
10620 Schirra Ave
Mather, CA 95655
Phone (916) 308-1054
Other practice location 2
3434 Marconi Ave
Sacramento, CA 95821-6242
Phone (916) 308-1054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6077 | Other | CA | CADTP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6077 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Northern California & Northern Nevada | Current | Accepting new patients |
Locations
3434 Marconi Ave
Sacramento, CA 95821
Phone (916) 308-1054
1001 Grand Ave
Sacramento, CA 95838
Phone (916) 929-1951
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Oakland, CA
- NPI 1215064100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1902321334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 MARCONI AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958216242",
"telephone_number": "916-308-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 BRANCH CENTER RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958273809",
"telephone_number": "916-308-1054"
}
],
"practiceLocations": [
{
"address_1": "10620 Schirra Ave",
"address_purpose": "LOCATION",
"city": "Mather",
"state": "CA",
"postal_code": "95655",
"country_code": "US",
"telephone_number": "916-308-1054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3434 Marconi Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958216242",
"country_code": "US",
"telephone_number": "916-308-1054",
"fax_number": "916-415-2818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANWICK",
"first_name": "CHRISTOPHER",
"credential": "SUDCCIII-CS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2025-07-23",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "6077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADTP",
"identifier": "6077",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.