Organization Active NPI

Serenity 6 Inc

  • Psychiatry Physician
  • Jamaica, NY
National Provider Identifier
1427149640
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SERENITY 6 INC
Practice address
17516 109TH Ave
Jamaica, NY 11433-2602
Phone
(718) 523-9229
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Deborah Patricia Roberson
Title
Clinicial Social Worker
Phone
(718) 523-9229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

17516 109TH Ave
Jamaica, NY 11433-2602

Mailing address

17516 109TH Ave
Jamaica, NY 11433-2602
Phone (718) 523-9229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1427149640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17516 109TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332602",
            "telephone_number": "718-523-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17516 109TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332602",
            "telephone_number": "718-523-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY 6 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CLINICIAL SOCIAL WORKER",
        "authorized_official_telephone_number": "718-523-9229"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.