Active NPI
Serenity Center for Depression
- Psychiatric Residential Treatment Facility
- Sugar Land, TX
National Provider Identifier
1629395785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- License
- K5278
- Legal business name
- SERENITY CENTER FOR DEPRESSION
- Practice address
- 4545 Sweetwater Blvd
Sugar Land, TX 77479-3010 - Phone
- (281) 240-4322
- Fax
- (281) 240-7017
- NPI assigned
- Apr 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxane K Zotyka
- Title
- TMS Tech
- Phone
- (281) 240-4322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | K5278 | TX | Primary |
Addresses
Primary practice location
4545 Sweetwater Blvd
Sugar Land, TX 77479-3010
Mailing address
4545 Sweetwater Blvd
Sugar Land, TX 77479-3010
Phone (281) 240-4322
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1629395785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 SWEETWATER BLVD",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774793010",
"telephone_number": "281-240-4322",
"fax_number": "281-240-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 SWEETWATER BLVD",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774793010",
"telephone_number": "281-240-4322",
"fax_number": "281-240-7017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY CENTER FOR DEPRESSION",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "ZOTYKA",
"authorized_official_first_name": "ROXANE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "TMS TECH",
"authorized_official_telephone_number": "281-240-4322"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "TX",
"license": "K5278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.