NPIMap

Organization Active NPI

My Serenity Mental Wellness, an Individual & Family Therapy Corp.

Doing business as My Serenity Mental Wellness

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1306594999
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MY SERENITY MENTAL WELLNESS, AN INDIVIDUAL & FAMILY THERAPY CORP.
Doing business as
My Serenity Mental Wellness
Practice address
8291 Utica Ave Ste 102
Rancho Cucamonga, CA 91730-3800
Phone
(909) 727-7207
NPI assigned
Mar 14, 2022
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Johana Montes de OcaNPI 1841584398
Title
Owner/President
Phone
(909) 727-7207

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
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

8291 Utica Ave Ste 102
Rancho Cucamonga, CA 91730-3800

Mailing address

8291 Utica Ave Ste 102
Rancho Cucamonga, CA 91730-3800
Phone (909) 727-7207

Other names 1

  • My Serenity Mental Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

7828 Haven Ave
#212
Rancho Cucamonga, CA 91730

8291 Utica Ave
Ste 102
Rancho Cucamonga, CA 91730
Phone (909) 727-2577

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1306594999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8291 UTICA AVE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303800",
            "telephone_number": "909-727-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8291 UTICA AVE STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303800",
            "telephone_number": "909-727-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SERENITY MENTAL WELLNESS, AN INDIVIDUAL & FAMILY THERAPY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "MONTES DE OCA",
        "authorized_official_first_name": "JOHANA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-727-7207"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Serenity Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Serenity Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.