PHILLIP KRULISKY RADT
NPI 1073214532
Counselor - Addiction (Substance Use Disorder) in Grass Valley, CA

Active since March 13, 2023
159 BRENTWOOD DR, GRASS VALLEY, CA 95945(530) 878-5166 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phillip Krulisky Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP KRULISKY RADT (NPI 1073214532) is an individual addiction (substance use disorder) provider in Grass Valley, California, licensed in California (R1500000323) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1073214532
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePHILLIP KRULISKYCredential: RADT
Location Address159 BRENTWOOD DRGrass Valley, CA 95945-5703
Mailing AddressPo Box 6021Auburn, CA 95604-6021 · (530) 878-5166
Sole ProprietorNo
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
NPI 1073214532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1500000323
159 BRENTWOOD DR, Grass Valley, CA 95945

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Technician
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Counselor
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945
Counselor (Addiction (Substance Use Disorder))
159 BRENTWOOD DR
GRASS VALLEY, CA 95945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Krulisky's NPI number?

The NPI number for Phillip Krulisky is 1073214532. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Phillip Krulisky located?

Phillip Krulisky practices at 159 Brentwood Dr, Grass Valley, CA 95945. The listed phone number is (530) 878-5166.

What is Phillip Krulisky's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phillip Krulisky was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.