Serenity Care NP in Psychiatry PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SERENITY CARE NP IN PSYCHIATRY PC

Practice address

21 Linwood Ave
Williamsville, NY 14221-6501

Phone

(716) 626-9016

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth J ChurchNPI 1578809000

Title

NP

Phone

(716) 626-9016

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Church, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
  • NPI 1578809000
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1043727639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CARE NP IN PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "716-626-9016"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010481100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Sendlak, R-PAC
• Wanda Lynn Seneca, LPN
• Lucas Sepe, MD
• James M Serapiglia, PH.D. PSYCHOLOGIST
• Serene Spine Chiropractic PLLC
• Nora Joseph Serghany
• Andromeda Sergio, RN
• Aida Serrano, LPN
• Robert Frank Setlik, M.D.,PH.D.
• Amy Marie Severson, MD

• Psychiatric/Mental Health Nurse Practitioner in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.