Serenity Medical Associates

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SERENITY MEDICAL ASSOCIATES

Practice address

9669 East 146TH Street
Noblesville, IN 46060-5004

Phone

(317) 621-2211

NPI assigned

May 26, 2010

Organization subpart

Yes

Parent organization

SERENITY MEDICAL ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Jeffery Kirkham

Title

Cfo

Phone

(317) 355-5822

Specialties & licenses 1

Addresses

Part of

Serenity Medical Associates

Practitioners 1

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

• Syed J Khan, MD

  • Psychiatry Physician
  • Berwyn, IL
  • NPI 1407807746
  NPD (past)

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1073832390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 CLEARVISTA PARKWAY",
            "address_2": "SUITE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564649",
            "telephone_number": "317-621-7561",
            "fax_number": "317-621-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 EAST 146TH STREET",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605004",
            "telephone_number": "317-621-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERENITY MEDICAL ASSOCIATES",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5822"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Pharmacy Inc
• Select Physical Therapy Holdings, Inc. (Select Physical Therapy)
• Sensory Fun
• Sentry Integrative Mental Health LLC (Sentry Wellness)
• Serenity Creek Dental Care, LLC
• Kaitlin Serkaian, RBT
• Julie Setmeyer, MS LMHC
• Dean Shaffer
• Nicole Shammas, MD
• Nicholette Shanholt, RBT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.