Organization Active NPI

Serenity Mindfulness Therapy

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1356188858
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SERENITY MINDFULNESS THERAPY
Practice address
7665 Palmilla Dr Apt 5207
San Diego, CA 92122-5032
Phone
(619) 630-9453
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Anahita N/a Shahbazi, LMFTNPI 1851055735
Title
Licensed Marriage Family Therapist
Phone
(619) 630-9453

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

7665 Palmilla Dr Apt 5207
San Diego, CA 92122-5032

Mailing address

PO Box 262011
San Diego, CA 92196-2011
Phone (619) 630-9453

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": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1356188858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262011",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921962011",
            "telephone_number": "619-630-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 PALMILLA DR APT 5207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225032",
            "telephone_number": "619-630-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MINDFULNESS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZI",
        "authorized_official_first_name": "ANAHITA",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "LICENSED MARRIAGE FAMILY THERAPIST",
        "authorized_official_telephone_number": "619-630-9453",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.