Cilpsi Special Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY13055 Issued in CA

Legal business name

CILPSI SPECIAL SERVICES

Doing business as

lifeworks

Practice address

1700 Fulton Rd
Santa Rosa, CA 95403-1815

Phone

(707) 568-2300

Fax

(707) 568-2304

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael K Tonjum, PH.D.

Title

Director

Phone

(707) 568-2300

Specialties & licenses 1

Addresses

Other names 1

• lifeworks Doing business as

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740490176",
    "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",
            "fax_number": "707-568-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 FULTON RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031815",
            "telephone_number": "707-568-2300",
            "fax_number": "707-568-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CILPSI SPECIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TONJUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-568-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY13055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Jongpal Chung, DO
• Karen Ellen Church, LCSW128728
• Maxwell Jared Church, CMT
• Katrin Ciaffa
• Cil/Psi Special Services, Inc.
• Christopher Cincotta
• Camilla Z Cinquini
• Sharman Louise Cippa, LCSW
• Patricia Ann Cisco, MFT
• Sabrina M. Cito, RN

• Community/Behavioral Health Agency in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.