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BRIAN LICORISH PSYCHIATRY LLC
NPI 1225759871
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Clara, CA

Active since September 12, 2022
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054(408) 384-3758 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, Sep 12, 2022 (2 updates tracked since 2022).

About Brian Licorish Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN LICORISH PSYCHIATRY LLC (NPI 1225759871) is a healthcare organization registered as a mental health (including community mental health center) in Santa Clara, California and active in the NPI registry since September 2022. The organization lists Kenrick Brian Licorish, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1225759871
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRIAN LICORISH PSYCHIATRY LLC
Location Address5201 GREAT AMERICA PKWY STE 320Santa Clara, CA 95054-1140
Mailing Address2108 N St Ste NSacramento, CA 95816-5712
Phone(408) 384-3758
Organization SubpartNo
Authorized OfficialKenrick Brian LicorishPsychiatrist · (949) 244-0104
Enumeration DateSeptember 12, 2022
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 14, 2025
✔ NPI 1225759871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
5201 GREAT AMERICA PKWY STE 320, Santa Clara, CA 95054
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEBORAH MARIE BOUCHER-CARTER
Marriage & Family Therapist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MR. WILLIAM BRUCE FAMULARO II
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
DANIELLA GALAVIZ LCSW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MS. PRESCILLA DANIELLE JOHN
Psychologist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (646) 681-7506
JASON NERIO
Marriage & Family Therapist
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
CUCUMBER WELLNESS, INC.
Psychiatry & Neurology (Psychiatry)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (833) 427-3566
KAYLA BRITTNEY SCHELL LISW
Social Worker (Clinical)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088
MRS. DIANA BAINBRIDGE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 95054
Santa Clara County (323) 205-7088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Licorish Psychiatry LLC's NPI number?

The NPI number for Brian Licorish Psychiatry LLC is 1225759871. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Brian Licorish Psychiatry LLC located?

Brian Licorish Psychiatry LLC is located at 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054. The listed phone number is (408) 384-3758.

What is Brian Licorish Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Brian Licorish Psychiatry LLC was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.