Massage Serenity

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MASSAGE SERENITY

Practice address

20245 W. 12 Mile Rd
Suite 113
Southfield, MI 48076

Phone

(248) 281-3730

NPI assigned

Dec 6, 2016

Last updated

Dec 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shanea J Bibbs

Title

Owner/Manager

Phone

(313) 353-2132

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1023552361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20245 W. 12 MILE RD",
            "address_2": "SUITE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-281-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20245 W. 12 MILE RD",
            "address_2": "SUITE 113",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-281-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "BIBBS",
        "authorized_official_first_name": "SHANEA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "313-353-2132",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Marzicola
• Chasity Mason
• Darresha Mason
• Maegan Mikelle Mason
• Sophie Masri
• Ryan William Mast, TLLP
• Madelyn Sue Mastenbrook
• Master Medical, PLLC
• Sergey Masterov, MASSAGE THERAPIST
• Sabrina Lauren Mastronardi, PHARMD

• Community/Behavioral Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.