NPIMap

Organization Active NPI

Lifeworks of Sonoma County

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
National Provider Identifier
1215360540
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
55391 Issued in CA
Legal business name
LIFEWORKS OF SONOMA COUNTY
Practice address
1200 College Ave
Santa Rosa, CA 95404-3908
Phone
(707) 568-2300
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 55391 CA Primary

Addresses

Primary practice location

1200 College Ave
Santa Rosa, CA 95404-3908

Mailing address

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

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

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1215360540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COLLEGE AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043908",
            "telephone_number": "707-568-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COLLEGE AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043908",
            "telephone_number": "707-568-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS OF SONOMA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "ROYCE",
        "authorized_official_first_name": "JILL",
        "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": "55391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2013; 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.