Serenity Sersecion, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28913 Issued in CA

Practice address

468 Ellis St
Mountain View, CA 94043-2237

Phone

(415) 291-0480

NPI assigned

Oct 29, 2008

Last updated

May 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• One Medical Group, Inc.

  dba One Medical Group

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1467781641
  NPD (past)

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1609029032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W OLIVE AVE STE 214",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867660",
            "telephone_number": "650-448-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 ELLIS ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940432237",
            "telephone_number": "415-291-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Martin Luther King Jr Way",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121358",
            "country_code": "US",
            "telephone_number": "510-893-9230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1170 Bordeaux Dr Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940891209",
            "country_code": "US",
            "telephone_number": "415-291-0480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 W Olive Ave Ste 214",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940867660",
            "country_code": "US",
            "telephone_number": "650-448-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERSECION",
        "first_name": "SERENITY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "levelupsych.com",
            "affiliation": "N",
            "endpointDescription": "secure form on website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "355 W Olive Ave Ste 214",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940867660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Swarnapali R.P. Seneviratna, MD
• Jenna Casey Sercia, PA
• Serena Hu DDS Inc (Rengstorff Dental Care)
• Serenity Sleep Solutions Inc.
• Pedro Serrano
• Lillian Kane Servais, MS, CGC
• Megan Seto
• Richard Seto
• Jenna Miko Seufert, M.D.
• Cassie Sewald

• Clinical Psychologist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.