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

Fax

(949) 218-1597

NPI assigned

Nov 14, 2017

Organization subpart

No

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

Authorized official

Name

Peter Gates

Title

Coo

Phone

(949) 701-1959

Specialties & licenses 3

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 1386277325
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valeh Karimkhani, DO

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1053467720
  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1407369267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33171 PASEO CERVEZA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754870"
        },
        {
            "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",
            "fax_number": "949-218-1597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23482 Dorielle Ct",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926774656",
            "country_code": "US",
            "telephone_number": "949-701-1959",
            "fax_number": "949-258-5510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33171 Paseo Cerveza",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926754870",
            "country_code": "US",
            "telephone_number": "323-992-5071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26592 Tampico Pl",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926913338",
            "country_code": "US",
            "telephone_number": "949-701-1959",
            "fax_number": "949-258-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "949-701-1959"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Zeina Shanata

• 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 Oct 26, 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.