NPIMap

Organization Active NPI

Serene Spaces Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1235954223
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENE SPACES PSYCHIATRY PLLC
Practice address
214 N Caddo St
Cleburne, TX 76031-4904
Phone
(817) 487-7191
NPI assigned
Nov 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Erika Hagelgantz, MSN, APRN, PMHNP-BCNPI 1083446595
Title
Owner
Phone
(817) 487-7191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

214 N Caddo St
Cleburne, TX 76031-4904

Mailing address

214 N Caddo St
Cleburne, TX 76031-4904
Phone (817) 487-7191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217003615 TX Part B Supplier - Clinic/Group Practice 5597292474 Receives reassigned benefits from 1 practitioner
Practice locations: Cleburne, TX

National Provider Directory

National Provider Directory

Locations

214 N Caddo St
Cleburne, TX 76031
Phone (817) 487-7191

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1235954223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N CADDO ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760314904",
            "telephone_number": "817-487-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CADDO ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760314904",
            "telephone_number": "817-487-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SPACES PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "HAGELGANTZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-487-7191",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.