Organization Active NPI

Serene Behavioral Center

  • Health Service Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1306687355
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SERENE BEHAVIORAL CENTER
Practice address
427 Snelling Ave N Apt 201
Saint Paul, MN 55104-3827
Phone
(612) 598-4516
NPI assigned
Jun 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Osman Mahamud, CEONPI 1598533267
Title
Ceo
Phone
(612) 598-4516

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

427 Snelling Ave N Apt 201
Saint Paul, MN 55104-3827

Mailing address

427 Snelling Ave N Apt 201
Saint Paul, MN 55104-3827
Phone (612) 598-4516

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1306687355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SNELLING AVE N APT 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043827",
            "telephone_number": "612-598-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 SNELLING AVE N APT 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043827",
            "telephone_number": "612-598-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE BEHAVIORAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "MAHAMUD",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-598-4516",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.