Kenrick Brian Licorish, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A159723 Issued in CA

Practice address

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Phone

(408) 384-3758

NPI assigned

Jun 5, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenrick Licorish Medical Corporation

  • Psychiatry Physician
  • Santa Clara, CA
  • NPI 1518662485
  Medicare reassignment NPD Authorized official
• Bay Psychiatric Associates

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1427163229
  Medicare reassignment NPD
• Brian Licorish Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Clara, CA
  • NPI 1225759871
  NPD Authorized official
• Integrative Behavioral Health & Medicine, Inc.

  • Psychiatry Physician
  • Los Altos, CA
  • NPI 1548910151
  NPD
• United Psychiatry, Inc.

  • Psychiatry Physician
  • Mountain View, CA
  • NPI 1245943596
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1144759085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CLAY ST STE 380",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY STE 320",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541140",
            "telephone_number": "408-384-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICORISH",
        "first_name": "KENRICK",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A159723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qiushi Li
• Xiaoyuan Li
• Wei Chen Liang, DDS
• Chin Huei Liao, MD
• Aldraine Habon Libao, PHARMD
• Brandy Ann Lidbeck
• Life Therapy Inc
• Liffey Health
• Oliver Liggins
• Dale Kay Lillak, M.F.T.

• Psychiatry Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.