Simply Serene Behavioral Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SIMPLY SERENE BEHAVIORAL HEALTH LLC

Practice address

939 E Impala Ave
Mesa, AZ 85204-6619

Phone

(602) 756-9798

Fax

(480) 546-4536

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Mary M Ndungu, NP-DNP

Title

Ceo

Phone

(602) 756-9798

Specialties & licenses 2

Addresses

Other names 1

• SIMPLY SERENE WELLNESS CENTER Doing business as

Locations

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1336807411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14844 S 30TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488714",
            "telephone_number": "508-615-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 E IMPALA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046619",
            "telephone_number": "602-756-9798",
            "fax_number": "480-546-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SERENE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "NDUNGU",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-756-9798",
        "authorized_official_credential": "NP-DNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMPLY SERENE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl Ann Simons, L.M.T.
• Mkayla Patrice Simons
• Simplicity Care Associates LLC
• Simply Mobile Diagnostic Imaging LLC
• Simply Rooted Speech & Wellness LLC
• Simply Serene Behavioral Health LLC
• Simply Serene Crisis Center LLC
• Simply Serene Detox and Recovery Center LLC
• James Simpson, MSPC, LAC
• Cortez D. Sims, DOCTOROF PHILOSOPHY

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.