Serenity Trauma Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENITY TRAUMA FOUNDATION

Practice address

881 Alma Real Dr Ste 218
Pacific Palisades, CA 90272-5039

Phone

(310) 310-9249

Fax

(310) 230-7440

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Karol Darsa Nechushtan, CLINICAL PSYCHOLOGIS

Title

Co Director

Phone

(310) 310-9249

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1639504467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 218",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725039",
            "telephone_number": "310-310-9249",
            "fax_number": "310-230-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 218",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725039",
            "telephone_number": "310-310-9249",
            "fax_number": "310-230-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY TRAUMA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "NECHUSHTAN",
        "authorized_official_first_name": "KAROL",
        "authorized_official_middle_name": "DARSA",
        "authorized_official_title_or_position": "CO DIRECTOR",
        "authorized_official_telephone_number": "310-310-9249",
        "authorized_official_credential": "CLINICAL PSYCHOLOGIS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Kathleen Scarangello, P.T.
• Barbara S. Schacter, M.A.
• Schendel MD Broujerdi MD Inc
• Michelle Schrader, P.T.
• Serenity Family and Psychological Counseling Center, P.C.
• Serenity Trauma Healing Center Inc
• Sevo Gas, Inc
• Yasamin Shabbouei
• Shiva Shahabi, PHARMD
• Andrea Shakarian, D.C.

• Community/Behavioral Health Agency in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.