Brent Charles Ulrici

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2986 Colma St
Placerville, CA 95667

Phone

(530) 748-3706

Fax

(530) 748-3379

NPI assigned

Aug 4, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Progress House Inc Detox Center

  • Substance Abuse Rehabilitation Facility
  • Placerville, CA
  • NPI 1336506302
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1982129508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1666",
            "address_2": "2844 COLOMA ST",
            "city": "PLACERVILL",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-626-9240",
            "fax_number": "530-626-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 COLMA ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-748-3706",
            "fax_number": "530-748-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICI",
        "first_name": "BRENT",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Tucker, MD
• Jessica Turnbull
• Gia Tyler, MFTI
• Scott Anthony Ubrick, P.T.
• Julie Ulloa
• Catherine Maria Underwood, MFT
• Michael Ungeheuer, RN MN PHN
• Patricia Ann Urban
• V. L. Grant M. D. PMC
• Laura Valdez

• Addiction (Substance Use Disorder) Counselor in Placerville, CA
• Providers in Placerville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.