Active NPI
Serenity Behavioral Science Center
- Child & Adolescent Psychiatry Physician
- West Chester, OH
National Provider Identifier
1558787192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 35.088216
- Legal business name
- SERENITY BEHAVIORAL SCIENCE CENTER
- Practice address
- 7760 West Voa Park Dr
Ste H
West Chester, OH 45069 - Phone
- (513) 847-4491
- Fax
- (513) 847-4524
- NPI assigned
- Mar 6, 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. Jayasree J Nandagopal, M.D.
- Title
- Owner
- Phone
- (513) 847-4491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35.088216 | OH | Primary |
Addresses
Primary practice location
7760 West Voa Park Dr
Ste H
West Chester, OH 45069
Mailing address
7760 West Voa Park Dr
Ste H
West Chester, OH 45069
Phone (513) 847-4491
National Provider Directory
National Provider Directory- Tax ID family
- Serenity Behavioral Science Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- West Chester, OH
- NPI 1851604193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394064000000",
"number": "1558787192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 WEST VOA PARK DR",
"address_2": "STE H",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069",
"telephone_number": "513-847-4491",
"fax_number": "513-847-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 WEST VOA PARK DR",
"address_2": "STE H",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "45069",
"telephone_number": "513-847-4491",
"fax_number": "513-847-4524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY BEHAVIORAL SCIENCE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-06",
"last_updated": "2014-03-06",
"status": "A",
"authorized_official_last_name": "NANDAGOPAL",
"authorized_official_first_name": "JAYASREE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-847-4491",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35.088216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.