Organization Active NPI

Serenity Recovery and Behavioral Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mansfield, MA
National Provider Identifier
1598534828
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SERENITY RECOVERY AND BEHAVIORAL HEALTH
Practice address
20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
Phone
(508) 213-1326
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Laywell Tedoe, NP
Title
Owner
Phone
(401) 419-2106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183

Mailing address

11 Robert Toner Blvd Ste 5
Attleboro Falls, MA 02763-1156

National Provider Directory

National Provider Directory

Locations

11 Robert Toner Blvd
Ste 5
North Attleboro, MA 02763
Phone (774) 991-1875

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1598534828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROBERT TONER BLVD STE 5",
            "city": "ATTLEBORO FALLS",
            "state": "MA",
            "postal_code": "027631156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CABOT BLVD STE 300",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481183",
            "telephone_number": "508-213-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RECOVERY AND BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "TEDOE",
        "authorized_official_first_name": "LAYWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-419-2106",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.