NPIMap

Organization Active NPI

Life Works of Sonoma County

Doing business as lifeworks

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
National Provider Identifier
1144431693
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE WORKS OF SONOMA COUNTY
Doing business as
lifeworks
Practice address
1370 San Miguel Road
Santa Rosa, CA 95403-1986
Phone
(707) 524-2774
Fax
(707) 522-3017
NPI assigned
May 25, 2007
Last updated
Aug 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jill W. Royce
Title
Executive Director
Phone
(707) 568-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY 13055 CA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1370 San Miguel Road
Santa Rosa, CA 95403-1986

Mailing address

1200 College Avenue
Santa Rosa, CA 95404-3908
Phone (707) 568-2300

Other names 1

  • lifeworks Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifeworks14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

1370 San Miguel Ave
Santa Rosa, CA 95403
Phone (707) 522-3015

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1144431693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COLLEGE AVENUE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043908",
            "telephone_number": "707-568-2300",
            "fax_number": "707-568-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 SAN MIGUEL ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031986",
            "telephone_number": "707-524-2774",
            "fax_number": "707-522-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WORKS OF SONOMA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "ROYCE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-568-2300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY 13055",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.