Serene Behavioral Health, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SERENE BEHAVIORAL HEALTH, LLC

Practice address

31471 Paseo Duran
San Juan Capistrano, CA 92675-2743

Phone

(949) 395-6552

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Candysse Carlsen

Title

Coo

Phone

(949) 395-6552

Specialties & licenses 1

Addresses

Tax ID family

Serene Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Serene Behavioral Health, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • San Juan Capistrano, CA
  • NPI 1407369267
  NPD tax ID

Locations

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1386277325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33171 PASEO CERVEZA STE 200",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754872",
            "telephone_number": "949-395-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31471 PASEO DURAN",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752743",
            "telephone_number": "949-395-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "CARLSEN",
        "authorized_official_first_name": "CANDYSSE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-395-6552"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Sadoughi Sedehi, DMD
• Hayley Sue Sedell, PT
• Talia Rose Seider, PHD, ABPP
• Cassandra Caitlin Seidler, LCSW
• Lana K Selecman, SLP
• Serene Behavioral Health, LLC
• Sandy Serna, MD
• Serra Sol San Juan Capistrano
• Rosa Serrano
• Shaini Shah DDS Dental Group Inc (Capistrano Dental Group)

• Mental Illness Community Based Residential Treatment Facility in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.