Active NPI
Serenity Family and Psychological Counseling Center, P.C.
- Marriage & Family Therapist
- Pacific Palisades, CA
National Provider Identifier
1467859595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 36644
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114268497 | Other | CA | SERENITY TRAUMA HEALING CENTER INC |
| 1295076578 | Other | CA | JOANNE GAIL MEDNICK LMFT 36644 |
Other names 1
- SERENITY TRAUMA HEALING CENTER
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Marina del Rey, CA
- NPI 1265768287
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.