NPIMap

Organization Active NPI

Serenity Psychosocial Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1528200631
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PY0572 Issued in NV
Legal business name
SERENITY PSYCHOSOCIAL SERVICES
Practice address
2029 Winter Wind St
Las Vegas, NV 89134-6699
Phone
(702) 343-4420
Fax
(702) 543-2000
NPI assigned
Apr 3, 2009
Last updated
Apr 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Ms. Toni Denise Hodges, B.A.
Title
Co-Owner
Phone
(702) 308-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PY0572 NV Primary

Addresses

Primary practice location

2029 Winter Wind St
Las Vegas, NV 89134-6699

Mailing address

2029 Winter Wind St
Las Vegas, NV 89134-6699
Phone (702) 343-4420

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1528200631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 WINTER WIND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346699",
            "telephone_number": "702-343-4420",
            "fax_number": "702-543-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 WINTER WIND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346699",
            "telephone_number": "702-343-4420",
            "fax_number": "702-543-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PSYCHOSOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "702-308-2288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "PY0572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.