Organization Active NPI

Serenity of Central Florida PA

  • Community/Behavioral Health Agency
  • Summerfield, FL
National Provider Identifier
1043460421
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2084P0800X Issued in FL
Legal business name
SERENITY OF CENTRAL FLORIDA PA
Practice address
9425 SE Highway 42
Summerfield, FL 34491-6405
Phone
(352) 347-6272
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Yasin Mohsin Choudry, M.D.
Title
Phsychiatrist
Phone
(352) 347-6272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2084P0800X FL Primary

Addresses

Primary practice location

9425 SE Highway 42
Summerfield, FL 34491-6405

Mailing address

9425 SE Highway 42
Summerfield, FL 34491-6405
Phone (352) 347-6272

Other identifiers 1

IdentifierTypeStateIssuer
1OtherNONE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1043460421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 SE HIGHWAY 42",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344916405",
            "telephone_number": "352-347-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 SE HIGHWAY 42",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344916405",
            "telephone_number": "352-347-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY OF CENTRAL FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "YASIN",
        "authorized_official_middle_name": "MOHSIN",
        "authorized_official_title_or_position": "PHSYCHIATRIST",
        "authorized_official_telephone_number": "352-347-6272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "2084P0800X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.