Organization Active NPI

Serenity Mental Health and Rehabilitative Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Rolling Hills Estates, CA
National Provider Identifier
1245967751
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SERENITY MENTAL HEALTH AND REHABILITATIVE SERVICES INC
Practice address
609 Deep Valley Dr Ste 200
Rolling Hills Estates, CA 90274-3614
Phone
(781) 205-9944
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Irine N Achuamang, MSN, PMHNP-BC
Title
Owner of Entity
Phone
(781) 205-9944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

609 Deep Valley Dr Ste 200
Rolling Hills Estates, CA 90274-3614

Mailing address

609 Deep Valley Dr Ste 200
Rolling Hills Estates, CA 90274-3614
Phone (781) 205-9944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1245967751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 DEEP VALLEY DR STE 200",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743614",
            "telephone_number": "781-205-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 DEEP VALLEY DR STE 200",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743614",
            "telephone_number": "781-205-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTH AND REHABILITATIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "ACHUAMANG",
        "authorized_official_first_name": "IRINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "781-205-9944",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.