Organization Active NPI

Serenity Health Center PA

  • Adult Mental Health Clinic/Center
  • Clermont, FL
National Provider Identifier
1568630879
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SERENITY HEALTH CENTER PA
Practice address
835 Oakley Seaver Dr
Clermont, FL 34711-1968
Phone
(352) 241-9282
Fax
(352) 241-4282
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Pritha Rajeshwori Dhungana, M.D.NPI 1447323266
Title
Owner
Phone
(352) 241-9282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

835 Oakley Seaver Dr
Clermont, FL 34711-1968

Mailing address

835 Oakley Seaver Dr
Clermont, FL 34711-1968
Phone (352) 241-9282

Other identifiers 1

IdentifierTypeStateIssuer
ME93964OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081216000354 FL Part B Supplier - Clinic/Group Practice 6002978624 Receives reassigned benefits from 2 practitioners
Practice locations: Clermont, FL; Leesburg, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2029090Serenity Health Center, PA835 Oakley Seaver Dr, Clermont, FL 34711Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Locations

835 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 241-9282

803 E Dixie Ave
Leesburg, FL 34748
Phone (352) 530-2256

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1568630879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 OAKLEY SEAVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111968",
            "telephone_number": "352-241-9282",
            "fax_number": "352-241-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 OAKLEY SEAVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111968",
            "telephone_number": "352-241-9282",
            "fax_number": "352-241-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "DHUNGANA",
        "authorized_official_first_name": "PRITHA",
        "authorized_official_middle_name": "RAJESHWORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-241-9282",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME93964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.