Serenity Psychiatry Group Incorporated

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SERENITY PSYCHIATRY GROUP INCORPORATED

Practice address

14518 Cherry Lake Dr W
Jacksonville, FL 32258-5140

Phone

(904) 200-8978

Fax

(904) 644-5443

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By 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

Latara Taylor, PMHNP, FNP - BCNPI 1316573173

Title

Pmhnp, FNP - BC

Phone

(904) 200-8978

Specialties & licenses 7

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latara Taylor, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1316573173
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1033972047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14518 CHERRY LAKE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585140",
            "telephone_number": "904-200-8978",
            "fax_number": "904-644-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14518 CHERRY LAKE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585140",
            "telephone_number": "904-200-8978",
            "fax_number": "904-644-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PSYCHIATRY GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LATARA",
        "authorized_official_title_or_position": "PMHNP, FNP - BC",
        "authorized_official_telephone_number": "904-200-8978",
        "authorized_official_credential": "PMHNP, FNP - BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sereneti Kove LLC
• Serenity Enterprise Solutions
• Serenity Heart LLC
• Serenity Homecare Network
• Serenity of Mind
• Serenity Residential Services Inc
• Serenity Therapeutic Counseling Place
• Danielle Marie Sergent, D.P.T.
• Anthony Serle, D.C.
• Jacqueline Serletti

• Psychiatry Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.