Organization Active NPI

Serenity Center for Depression

  • Psychiatric Residential Treatment Facility
  • Sugar Land, TX
National Provider Identifier
1629395785
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
K5278 Issued in TX
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

Updated by the provider on Apr 29, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.