JV Serenity Mass LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JV SERENITY MASS LLC

Practice address

61 Brown St
Haverhill, MA 01830-6750

Phone

(855) 219-1877

Fax

(954) 337-6238

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Deja Gilbert, PHD, LMHC, LPC

Title

Ceo

Phone

(855) 219-1877

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Constance Nzelle Ebong, MD

  • Psychiatry Physician
  • York, PA
  • NPI 1962443895
  NPD (past)

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1093408171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31296",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336313296",
            "telephone_number": "855-219-1877",
            "fax_number": "954-337-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BROWN ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306750",
            "telephone_number": "855-219-1877",
            "fax_number": "954-337-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JV SERENITY MASS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "DEJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-219-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela L Jones, M.D.
• Ronald Charles Jordan Jr.
• Joseph a. Cardarelli, Jr., D.M.D., P.C.
• Joseph R. Boucher Rehabilitation Services
• Katie L Jurek
• Ka Counseling LLC
• Edyta Barbara Kaczmarczyk, BA
• Victoria Kahn-Sinclair, LMHC
• Norah Kajara, NURSING
• Kellie Kalagher Lally, MA

• Substance Abuse Rehabilitation Facility in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Substance Abuse Rehabilitation Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.