Serene Mynd Psychiatric Nursing Services Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SERENE MYND PSYCHIATRIC NURSING SERVICES INC

Practice address

401 Vernon St Ste B
Roseville, CA 95678-2600

Phone

(916) 449-0475

Fax

(916) 848-6949

NPI assigned

Aug 3, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Evans, ARNPNPI 1952950263

Title

President

Phone

(916) 449-0475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Asican Evans, FNP-C, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
  • NPI 1952950263
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1730919929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 VERNON ST STE B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782600",
            "telephone_number": "916-449-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VERNON ST STE B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782600",
            "telephone_number": "916-449-0475",
            "fax_number": "916-848-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE MYND PSYCHIATRIC NURSING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-449-0475",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollie Sepahmansour, MS
• Narges Nasr Sepehrdad
• Reza Sepehrdad, M.D.
• Jamie Ann Sepulveda
• Sera Clinical Services
• Tatyana Serikov, RDH
• Som Sert
• Sewa Senior Facility LLC
• Shannon Rae Sgro, P.A.-C
• Golzar Shaari, DDS

• Psychiatric/Mental Health Nurse Practitioner in Roseville, CA
• Providers in Roseville, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.