Organization Active NPI

Serenity Community Mental Health Center LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1508688524
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SERENITY COMMUNITY MENTAL HEALTH CENTER LLC
Practice address
3611 SW 107TH Ave
Miami, FL 33165-3636
Phone
(786) 534-8366
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Yadira Amaral
Title
Owner
Phone
(786) 534-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

3611 SW 107TH Ave
Miami, FL 33165-3636

Mailing address

3611 SW 107TH Ave
Miami, FL 33165-3636
Phone (786) 534-8366

National Provider Directory

National Provider Directory
Tax ID family
Serenity Community Mental Health Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1508688524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653636",
            "telephone_number": "786-534-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653636",
            "telephone_number": "786-534-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY COMMUNITY MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "AMARAL",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-534-8366"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.