Organization Active NPI

Serene Solutions Health Group Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1326857673
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERENE SOLUTIONS HEALTH GROUP CORP
Practice address
4180 SW 74TH CT
Miami, FL 33155-4443
Phone
(786) 432-0107
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Issis Corripio
Title
Owner
Phone
(786) 325-0091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4180 SW 74TH CT
Miami, FL 33155-4443

Mailing address

4180 SW 74TH CT
Miami, FL 33155-4443
Phone (786) 432-0107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250422003312 FL Part B Supplier - Clinic/Group Practice 3274058227 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

4180 SW 74th Ct
Miami, FL 33155
Phone (786) 355-2050

Practitioners & affiliated clinicians

Practitioners 4

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": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1326857673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 SW 74TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554443",
            "telephone_number": "786-432-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 SW 74TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554443",
            "telephone_number": "786-432-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE SOLUTIONS HEALTH GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "CORRIPIO",
        "authorized_official_first_name": "ISSIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-325-0091"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.