Individual provider Active NPI

Christopher Stanwick, SUDCCIII-CS

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1902321334
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6077 Issued in CA
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

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6077OtherCACADTP

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

LicenseStateTypeSpecialty
6077CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Northern California & Northern Nevada CurrentSince Jul 1, 2025 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.

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.

Verify at the official NPI Registry.