Serenity Bay Health PLLC
Organization Active NPI Psychiatry Physician · Auburn, MI
NPI 1497320451 · NPPES record last updated Sep 11, 2021
Key facts
- NPI
- 1497320451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- SERENITY BAY HEALTH PLLC
- Practice address
- 946 W Midland Rd
Auburn, MI 48611-9400 - Phone
- (989) 266-3188
- Fax
- (949) 561-5532
- NPI assigned
- May 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Adam David Nicholas, MD
- Title
- Psychiatrist
- Phone
- (989) 266-3188
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 23
-
Kara Cermak-Baker, LMSW
-
Ryan Cox, M.D.
-
Jan Gaertner, LMSW
-
Amy Hayes, MA., LPC
-
Joseph Horetski, NP
-
Kristen Marie Kolberg, LMSW
-
Karen J Pabalis, LMSW
-
Taylor Thelen, LMSW
-
Melanie April Kleaver, LMSW
-
Emily Grace Comtois, MSN, PMHNP-BC
-
Deanna L Dubay, DNP PMHNP-BC
-
Erica Easlick, PMHNP
-
Hannah Kloha, PMHNP-BC
-
Ashley Ryane Luplow, LMSW
-
Shawn Marie Osborne, PMHNP-BC
-
Janice I Burton, MSW
-
Kirsten Gardner, PMHNP
-
Teresa A Switala, MSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210615002306 | MI | Part B Supplier - Clinic/Group Practice | 3577963404 |
Receives reassigned benefits from 20 practitioners Practice locations: Auburn, MI; Bay City, MI |
National Provider Directory
- Tax ID family
- Serenity Bay Health PLLC
Locations
946 W Midland Rd
Auburn, MI 48611
Phone (989) 266-3188
1426 Straits Dr
#B
Bay City, MI 48706
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
946 W Midland Rd
Auburn, MI 48611-9400
Mailing address
946 W Midland Rd
Auburn, MI 48611-9400
Phone (989) 266-3188
Other providers in Auburn, MI
- Hannah Rosales
- Angelleya Rose
- Angela Renee Scarffe
- Hanna Marie Schlaud
- Joshua Schriver
- Brooklynn E Shell
- Olivia Shelton
- Melissa A. Shepard
- Jennifer Siefert
- Mark Louis Skory
All providers in Auburn, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.