Organization Active NPI

Lionrock Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Maumee, OH
National Provider Identifier
1104271196
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.