Organization Active NPI

Serenity Now Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Davis, CA
National Provider Identifier
1619786407
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SERENITY NOW BEHAVIORAL HEALTH LLC
Practice address
2927, 2929, 2931 Salem Avenue
Davis, CA 95616-2633
Phone
(916) 287-7045
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Queenie Mae Atilano
Title
Director
Phone
(916) 287-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2927, 2929, 2931 Salem Avenue
Davis, CA 95616-2633

Mailing address

417 Mace Blvd Ste J-102
Davis, CA 95618-6053
Phone (916) 287-7045

Other names 3

  • Serenity Now Doing business as
  • Serenity Now - Salem Doing business as
  • Serenity Now Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

417 Mace Blvd
Ste J102
Davis, CA 95618

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1619786407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD STE J-102",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186053",
            "telephone_number": "916-287-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927, 2929, 2931 SALEM AVENUE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162633",
            "telephone_number": "916-287-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY NOW BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "ATILANO",
        "authorized_official_first_name": "QUEENIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-287-7045"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Now",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Now - Salem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Now Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.