Brian Licorish Psychiatry LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIAN LICORISH PSYCHIATRY LLC

Practice address

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

Phone

(408) 384-3758

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Kenrick Brian Licorish, MDNPI 1144759085

Title

Psychiatrist

Phone

(949) 244-0104

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenrick Brian Licorish, MD

  • Psychiatry Physician
  • Santa Clara, CA
  • NPI 1144759085
  NPD Authorized official

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1225759871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST STE N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712"
        },
        {
            "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": {
        "organization_name": "BRIAN LICORISH PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-14",
        "status": "A",
        "authorized_official_last_name": "LICORISH",
        "authorized_official_first_name": "KENRICK",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "949-244-0104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henna Frances Brar
• Maria Bolinao Braren
• Melissa Braunworth
• Lashanette Jeanean Breazell
• Wyanet Naavah Bresnitz
• Rebecca Bright, MS, LMFT, BCBA
• Brighter Day Housing
• Zachele Marie Mendoza Briones, PHD
• Ana Milena Ojeda Brittain, M.D.
• Lauren K Broker

• Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.