Serenity Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24708 Issued in OK

Legal business name

SERENITY WELLNESS LLC

Practice address

3750 W Main St Ste Aa
Norman, OK 73072-4645

Phone

(405) 790-0500

Fax

(405) 790-0501

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Benjamin Quiambao, MDNPI 1770796336

Title

Ceo

Phone

(405) 790-0500

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 3

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

• Benjamin Quiambao, MD

  • Psychiatry Physician
  • Norman, OK
  • NPI 1770796336
  Medicare reassignment Authorized official
• Clara Clifford Griffin

  • Mental Health Counselor
  • Moore, OK
  • NPI 1316115389
  NPD (past)
• Alicia D Thompson, M.D.

  • Child & Adolescent Psychiatry Physician
  • Edmond, OK
  • NPI 1053321596
  NPD (past)

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727481600000",
    "number": "1598096794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6708",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731530708",
            "telephone_number": "405-790-0500",
            "fax_number": "405-790-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W MAIN ST STE AA",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724645",
            "telephone_number": "405-790-0500",
            "fax_number": "405-790-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A",
        "authorized_official_last_name": "QUIAMBAO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-790-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "24708",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200518650A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200693480A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125890A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200238960A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200271930A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Sellers
• Michael D Sellers, MD
• Andrew Seng
• Christina Seng, LCSW
• Serenity Wellness Center
• Laura Elaine Serrano
• Seven Sisters Mental Health PLLC
• Darby Kate Sewell
• Rebekah Sewell
• Sharon Shackelford

• Psychiatry Physician in Norman, OK
• Providers in Norman, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.