Serenity Mental Health Clinic LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SERENITY MENTAL HEALTH CLINIC LLC

Practice address

4502 Riverstone Blvd Ste 201
Missouri City, TX 77459-5213

Phone

(832) 510-0375

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Darko Zdilar, MDNPI 1871527903

Title

Owner

Phone

(281) 406-8135

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Darko Zdilar, MD

  • Psychiatry Physician
  • Waterloo, IA
  • NPI 1871527903

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1073389078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 201",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595213",
            "telephone_number": "832-510-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 201",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595213",
            "telephone_number": "832-510-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "ZDILAR",
        "authorized_official_first_name": "DARKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-406-8135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.