Active NPI
Lionrock Behavioral Health, Inc.
- Community/Behavioral Health Agency
- Maumee, OH
National Provider Identifier
1104271196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIONROCK BEHAVIORAL HEALTH, INC.
- Practice address
- 1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055 - Phone
- (760) 994-4990
- Fax
- (866) 899-8670
- NPI assigned
- Apr 27, 2016
- Organization subpart
- Yes
- Parent organization
- LIONROCK BEHAVIORAL HEALTH, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iain Crabb
- Title
- Cfo/Secretary/Administrator
- Phone
- (760) 994-4990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055
Mailing address
911 Lakeville St # 322
Petaluma, CA 94952-3329
Phone (760) 994-4990
National Provider Directory
National Provider Directory- Part of
- Lionrock Behavioral Health
Locations
621 E Campbell Ave
Ste 17
Campbell, CA 95008
Phone (408) 871-8240
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Santa Cruz, CA
- NPI 1619902152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541548800000",
"number": "1104271196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 LAKEVILLE ST # 322",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949523329",
"telephone_number": "760-994-4990",
"fax_number": "866-899-8670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 INDIAN WOOD CIR STE 200",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374055",
"telephone_number": "760-994-4990",
"fax_number": "866-899-8670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIONROCK BEHAVIORAL HEALTH, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIONROCK BEHAVIORAL HEALTH, INC",
"enumeration_date": "2016-04-27",
"last_updated": "2018-11-07",
"status": "A",
"authorized_official_last_name": "CRABB",
"authorized_official_first_name": "IAIN",
"authorized_official_title_or_position": "CFO/SECRETARY/ADMINISTRATOR",
"authorized_official_telephone_number": "760-994-4990"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.