NPIMap

Organization Active NPI

Lifeworks of Sonoma County

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
National Provider Identifier
1619188166
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY13055 Issued in CA
Legal business name
LIFEWORKS OF SONOMA COUNTY
Practice address
1235 Mendocino Avenue
Santa Rosa, CA 95401-4386
Phone
(707) 565-4747
Fax
(707) 528-5724
NPI assigned
May 25, 2007
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
Exective Director
Phone
(707) 568-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY13055 CA Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1235 Mendocino Avenue
Santa Rosa, CA 95401-4386

Mailing address

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

Other names 1

  • lifeworks Former legal business name

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

1235 Mendocino Ave
Santa Rosa, CA 95401
Phone (707) 565-4747

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": "1619188166",
    "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": "1235 MENDOCINO AVENUE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014386",
            "telephone_number": "707-565-4747",
            "fax_number": "707-528-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS 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": "EXECTIVE 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": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifeworks",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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.