Organization Active NPI

Universal Health & Serenity Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
National Provider Identifier
1457196412
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
UNIVERSAL HEALTH & SERENITY PATHWAYS
Practice address
611 Division Ave NE Ste 201
Washington, DC 20019-5457
Phone
(202) 204-1361
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Melvis NdeNPI 1750636171
Title
Owner
Phone
(240) 640-1512

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Multi-Specialty Clinic/Center 261QM1300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

611 Division Ave NE Ste 201
Washington, DC 20019-5457

Mailing address

7808 Hubble Dr
Lanham, MD 20706-2493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241011000536 DC Part B Supplier - Clinic/Group Practice 6800328113 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

611 Division Ave NE
Ste 201
Washington, DC 20019
Phone (202) 204-1361

611 Division Ave NE
Ste AND102
Washington, DC 20019
Phone (240) 640-1512

Practitioners & affiliated clinicians

Practitioners 2

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": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1457196412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 HUBBLE DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DIVISION AVE NE STE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195457",
            "telephone_number": "202-204-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HEALTH & SERENITY PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "NDE",
        "authorized_official_first_name": "MELVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-640-1512"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.