Kenrick Licorish Medical Corporation
NPI 1518662485 · Psychiatry Physician · Santa Clara, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenrick Licorish Medical Corporation is a Psychiatry Physician organization in Santa Clara, CA (NPI 1518662485).
Provider details
- NPI number
- 1518662485
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenrick Licorish, Practice Owner, Psychiatrist(408) 384-3758
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-31
- Last updated
- 2025-06-14
- Certified
- 2025-06-14
Frequently asked questions
- What is Kenrick Licorish Medical Corporation's NPI number?
- Kenrick Licorish Medical Corporation's National Provider Identifier (NPI) is 1518662485, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenrick Licorish Medical Corporation?
- Kenrick Licorish Medical Corporation is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Kenrick Licorish Medical Corporation located?
- Kenrick Licorish Medical Corporation's practice location on file with NPPES is 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140.
- What is Kenrick Licorish Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Kenrick Licorish Medical Corporation is (408) 384-3758.
- Does Kenrick Licorish Medical Corporation accept Medicare?
- Kenrick Licorish Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenrick Licorish Medical Corporation?
- The authorized official listed on Kenrick Licorish Medical Corporation's NPPES record is Kenrick Licorish, Practice Owner, Psychiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenrick Licorish Medical Corporation's NPI active?
- Yes — Kenrick Licorish Medical Corporation's NPI (1518662485) is active in the NPPES registry as of the last update on 2025-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.