Serenity and Peace Behavioral Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SERENITY AND PEACE BEHAVIORAL HEALTH

Practice address

1600 Orlando Rd
Parkville, MD 21234-5322

Phone

(410) 684-9432

NPI assigned

May 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela Dove, CRNP-PMH-BCNPI 1316586662

Title

CRNP-PMH-BC

Phone

(410) 684-9432

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 2

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

• Pamela Dove

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkville, MD
  • NPI 1316586662
  Medicare reassignment NPD Authorized official
• Steven Lynne Dove Sr., ADT

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
  • NPI 1932948866
  NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1487390803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ORLANDO RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345322",
            "telephone_number": "410-684-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ORLANDO RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345322",
            "telephone_number": "410-684-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY AND PEACE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "DOVE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CRNP-PMH-BC",
        "authorized_official_telephone_number": "410-684-9432",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP-PMH-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Schwartz, LCSW-C
• Joseph Scott
• Secured Labs, LLC
• Victoria Segeleon, PHARMD
• Seglah, L.L.C.
• Nicole Settle, NP-C
• Seven Oceans LLC
• SFW Laboratories
• Colette Ann Shade
• Kimberly Shalenko

• Mental Health Clinic/Center (Including Community Mental Health Center) in Parkville, MD
• Providers in Parkville, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.