NPIMap

Organization Active NPI

Lifeworks of Sonoma County

  • Community/Behavioral Health Agency
  • Petaluma, CA
National Provider Identifier
1437360989
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFEWORKS OF SONOMA COUNTY
Practice address
333 Casa Grande Road
Petaluma, CA 94954-5799
Phone
(707) 789-0568
Fax
(707) 778-4687
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 PSY13055 CA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

333 Casa Grande Road
Petaluma, CA 94954-5799

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

333 Casa Grande Rd
Petaluma, CA 94954
Phone (707) 763-3385

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": "1281657600000",
    "number": "1437360989",
    "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": "333 CASA GRANDE ROAD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545799",
            "telephone_number": "707-789-0568",
            "fax_number": "707-778-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS OF SONOMA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-08-13",
        "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": "PSY13055",
            "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 Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.