Organization Active NPI

Serenity Family and Psychological Counseling Center, P.C.

  • Marriage & Family Therapist
  • Pacific Palisades, CA
National Provider Identifier
1467859595
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
36644 Issued in CA
Legal business name
SERENITY FAMILY AND PSYCHOLOGICAL COUNSELING CENTER, P.C.
Practice address
881 Alma Real Dr
Suite 310
Pacific Palisades, CA 90272-3731
Phone
(310) 310-9249
NPI assigned
Dec 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dr. Joanne G Mednick, LMFT
Title
President/Ceo
Phone
(310) 310-9249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 36644 CA Primary

Addresses

Primary practice location

881 Alma Real Dr
Suite 310
Pacific Palisades, CA 90272-3731

Mailing address

881 Alma Real Dr
Suite 310
Pacific Palisades, CA 90272-3731
Phone (310) 310-9249

Other identifiers 2

IdentifierTypeStateIssuer
1114268497OtherCASERENITY TRAUMA HEALING CENTER INC
1295076578OtherCAJOANNE GAIL MEDNICK LMFT 36644

Other names 1

  • SERENITY TRAUMA HEALING CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

881 Alma Real Dr
Ste 310
Pacific Palisades, CA 90272
Phone (310) 310-9249

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": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1467859595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 310",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "310-310-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 310",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "310-310-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FAMILY AND PSYCHOLOGICAL COUNSELING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "MEDNICK",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-310-9249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERENITY TRAUMA HEALING CENTER INC",
            "identifier": "1114268497",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOANNE GAIL MEDNICK LMFT 36644",
            "identifier": "1295076578",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERENITY TRAUMA HEALING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.