Search › California › 163WA0400X
Robert Ericksen
NPI 1073465910 · on the registry since 2026
Practice
- Address
- 3192 Glen Canyon Rd
Scotts Valley, CA 95066 - Phone
- (831) 226-1214
- Organisation at this address
- The Camp Recovery Center, Llc
The Camp Recovery Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 163WA0400X
163WA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California