Southlake Serenity Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SOUTHLAKE SERENITY PSYCHIATRY

Practice address

305 Miron Dr
Southlake, TX 76092-7831

Phone

(817) 203-3721

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Rana KaleemullahNPI 1497072722

Title

Owner

Phone

(817) 203-3721

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Rana Kaleemullah, M.D.

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1497072722

  Neurology, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1184451692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MIRON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MIRON DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927831",
            "telephone_number": "817-203-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAKE SERENITY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "KALEEMULLAH",
        "authorized_official_first_name": "RANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-203-3721"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southlake Neurology and
• Southlake Oncology
• Southlake Physical Medicine PLLC
• Southlake Plastic Surgery
• Southlake Psychological Associates, PLLC
• Southlake Sleep Center, LTD
• Southlake Specialty Hospital, LLC
• Southlake Sports & Spine Rehab PLLC
• Southlake Surgery Center, LLC
• Southlake Vision Group PLLC

• All providers in Southlake, TX
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.