Active NPI
George Steven Serna, PH.D.
- Clinical Neuropsychologist
- Brecksville, OH
National Provider Identifier
1295746014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6196
- Practice address
- 10000 Brecksville Rd
Brecksville, OH 44141-3204 - Phone
- (440) 526-3030
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6196 | OH | Primary |
| Psychiatric Hospital | 283Q00000X | 6196 | OH |
Addresses
Primary practice location
10000 Brecksville Rd
Brecksville, OH 44141-3204
Mailing address
10000 Brecksville Rd
Brecksville, OH 44141-3204
Phone (440) 526-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6196 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1295746014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 BRECKSVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413204",
"telephone_number": "440-526-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BRECKSVILLE RD",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413204",
"telephone_number": "440-526-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERNA",
"first_name": "GEORGE",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OH",
"license": "6196",
"primary": true
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "OH",
"license": "6196",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.