Active NPI
Serenity Psychiatry & Wellness PLLC
- Psychiatry Physician
- Erie, PA
National Provider Identifier
1730970534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SERENITY PSYCHIATRY & WELLNESS PLLC
- Practice address
- 502 W 7TH St Ste 100
Erie, PA 16502-1333 - Phone
- (484) 278-1175
- NPI assigned
- May 13, 2025
- 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
- Dr. Sidra Ghafoor, MD
- Title
- Member/Co-Owner
- Phone
- (215) 217-2288
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Sports Medicine (Psychiatry & Neurology) Physician | 2084S0010X |
Addresses
Primary practice location
502 W 7TH St Ste 100
Erie, PA 16502-1333
Mailing address
502 W 7TH St Ste 100
Erie, PA 16502-1333
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747526400000",
"number": "1730970534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W 7TH ST STE 100",
"city": "ERIE",
"state": "PA",
"postal_code": "165021333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W 7TH ST STE 100",
"city": "ERIE",
"state": "PA",
"postal_code": "165021333",
"telephone_number": "484-278-1175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY PSYCHIATRY & WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-13",
"last_updated": "2025-05-18",
"certification_date": "2025-05-18",
"status": "A",
"authorized_official_last_name": "GHAFOOR",
"authorized_official_first_name": "SIDRA",
"authorized_official_title_or_position": "MEMBER/CO-OWNER",
"authorized_official_telephone_number": "215-217-2288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.