LIONROCK BEHAVIORAL HEALTH, INC (NPI# 1962750505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962750505 |
| Entity Type | Organization |
| Organization Name | LIONROCK BEHAVIORAL HEALTH, INC |
| Other Organization Name | LIONROCK RECOVERY |
| Practice Address |
621 E Campbell Ave Suite 17 Campbell CA 95008-2139 |
| Mailing Address |
911 Lakeville St Mb 322 Petaluma CA 94952-3329 |
| Practice Telephone | 7609944990 |
| Practice Fax Number | 8668998670 |
| Mailing Telephone | 7609944990 |
| Mailing Fax Number | 8668998670 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-02-20 |
| Authorized Official Name | IAIN CRABB (CFO/SECRETARY/ADMINISTRATOR) |
| Authorized Official Telephone | 7609944990 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIONROCK BEHAVIORAL HEALTH, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | 430074AP | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Lionrock Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225506249 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 8400 E Crescent Pkwy Ste 600, Greenwood Village, CO 80111-2842 | 2018-11-07 |
| 1679929970 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 2111 S 67th St Ste 300, Omaha, NE 68106-2882 | 2016-05-05 |
| 1316393614 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 725 Cool Springs Blvd Ste 600, Franklin, TN 37067-2702 | 2016-05-05 |
| 1538638846 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390 | 2018-11-15 |
| 1134698434 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 7633 E 63rd Pl Ste 300, Tulsa, OK 74133-1202 | 2018-11-15 |
| 1548738560 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 225 Franklin St Fl 26, Boston, MA 02110-2853 | 2018-11-07 |
| 1982171856 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 3348 Peachtree Rd Ne Ste 700, Atlanta, GA 30326-1442 | 2018-10-30 |
| 1083062848 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 8601 Six Forks Rd, Suite 400, Raleigh, NC 27615 | 2016-06-01 |
| 1538517396 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 9393 W 110th St, Suite 500, Overland Park, KS 66210-1442 | 2016-06-01 |
| 1962858266 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030 | 2016-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Lionrock Behavioral Health, Inc. | 911 Lakeville Street 322, Petaluma, CA 94952 |
| Oregon Corporations, Companies and Business Names | LIONROCK BEHAVIORAL HEALTH, INC. | 911, Petaluma, CA 94952 |
| Street Address |
621 E CAMPBELL AVE SUITE 17 |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225053242 | Joseph M. Pazdernik | Psychologist | 621 E Campbell Ave, # 11-c, Campbell, CA 95008-2139 | 2006-07-12 |
| 1851835466 | Karmen Paley-blount | Dietitian, Registered | 621 E Campbell Ave, Campbell, CA 95008-2139 | 2016-12-15 |
| 1063857837 | Jessica Giese-gardner | Acupuncturist | 621 E Campbell Ave, Suite 8, Campbell, CA 95008-2139 | 2013-05-07 |
| 1386089258 | Michael Eugene Brown Jr. | Acupuncturist | 621 E Campbell Ave, Suite 7, Campbell, CA 95008-2139 | 2013-05-06 |
| 1013261981 | Rosemarie Carver | Counselor | 621 E Campbell Ave, 11 D, Campbell, CA 95008-2139 | 2012-10-31 |
| 1164794707 | Rebecca A Sugumar | Dietitian, Registered | 621 E Campbell Ave, Suite # 6 B, Campbell, CA 95008-2139 | 2012-01-28 |
| 1104102193 | Sandra B Burton | Dietitian, Registered | 621 E Campbell Ave, Suite 6b, Campbell, CA 95008-2139 | 2011-10-23 |
| 1992014245 | Arthur W Low Od & Rodney M Lum Od Ptrs | Optometrist | 621 E Campbell Ave, Suite 11-b, Campbell, CA 95008-2139 | 2010-10-05 |
| 1205155363 | Paul Daly | Marriage & Family Therapist | 621 E Campbell Ave, Suite 11d, Campbell, CA 95008-2139 | 2010-05-27 |
| 1700105566 | As Children Blossom Therapy Center | Speech-Language Pathologist | 621 E Campbell Ave, Suite 11a, Campbell, CA 95008-2139 | 2010-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902454226 | Seneca Family of Agencies | Community/Behavioral Health | 401 W Hamilton Ave, Campbell, CA 95008-0509 | 2019-08-29 |
| 1306301890 | Uplift Family Services | Community/Behavioral Health | 850 Chapman Dr, Campbell, CA 95008-6807 | 2019-02-08 |
| 1417310012 | Uplift Family Services | Community/Behavioral Health | 295 Cherry Ln, Campbell, CA 95008-3417 | 2016-03-31 |
| 1609239201 | Uplift Family Services | Community/Behavioral Health | 3040 Payne Ave, Campbell, CA 95008-0136 | 2016-03-31 |
| 1841611217 | The Village Network Inc | Community/Behavioral Health | 150 Fairdale Ave, Campbell, OH 44405-1075 | 2014-01-02 |
| 1285279869 | Campbell Teen & Family Therapy | Community/Behavioral Health | 441 N Central Ave Ste 6, Campbell, CA 95008-1428 | 2019-11-07 |
| 1700125937 | Emq Familiesfirst Soc | Community/Behavioral Health | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2013-02-07 |
| 1184925448 | Ladonna Ltd | Community/Behavioral Health | 900 E Hamilton Ave, Suite 100, Campbell, CA 95008-0664 | 2010-11-03 |
| 1073774170 | Judy De Leon | Community/Behavioral Health | 3425 S Bascom Ave, Suite F, Campbell, CA 95008-7300 | 2008-06-20 |
| 1992986137 | Emq Children and Family Services | Community/Behavioral Health | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2007-11-15 |
| Find all providers in CAMPBELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.