Active NPI
Serenity of Central Florida PA
- Community/Behavioral Health Agency
- Summerfield, FL
National Provider Identifier
1043460421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2084P0800X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Other | NONE |
National Provider Directory
National Provider DirectoryNPI 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.