Lionrock Behavioral Health, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

430074AP Issued in CA

Legal business name

LIONROCK BEHAVIORAL HEALTH, INC

Practice address

621 E Campbell Ave
Suite 17
Campbell, CA 95008-2139

Phone

(760) 994-4990

Fax

(866) 899-8670

NPI assigned

Aug 28, 2012

Organization subpart

Yes

Parent organization

LIONROCK BEHAVIORAL HEALTH, INCAs reported in NPPES

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

Authorized official

Name

Iain Crabb

Title

Cfo/Secretary/Administrator

Phone

(760) 994-4990

Specialties & licenses 2

Addresses

Other names 1

• Lionrock Recovery Doing business as

Part of

Lionrock Behavioral Health

Practitioners 1

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

• Betsy Ann Brugler, L.C.S.W.

  • Clinical Social Worker
  • Santa Cruz, CA
  • NPI 1619902152
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1962750505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LAKEVILLE ST",
            "address_2": "MB 322",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523329",
            "telephone_number": "760-994-4990",
            "fax_number": "866-899-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE",
            "address_2": "SUITE 17",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082139",
            "telephone_number": "760-994-4990",
            "fax_number": "866-899-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONROCK BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIONROCK BEHAVIORAL HEALTH, INC",
        "enumeration_date": "2012-08-28",
        "last_updated": "2021-10-21",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "CRABB",
        "authorized_official_first_name": "IAIN",
        "authorized_official_title_or_position": "CFO/SECRETARY/ADMINISTRATOR",
        "authorized_official_telephone_number": "760-994-4990"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "430074AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lionrock Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lionrock Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annalise M Libera-Diego
• Lucia Mercedes Liera
• James Lilja, M.D.
• Cynthia Shan Lin
• Bryanna S Lindly, FDN-P
• Eva Liron, R.D.O.
• Joyce M Litch, DDS MSD
• Samantha Lee Little, AMFT 155804
• Bowei Liu, HS DIPOLMA
• Shirley Liu, MD

• Community/Behavioral Health Agency in Campbell, CA
• Providers in Campbell, 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 Oct 21, 2021; 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.