Guardian of Serenity

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

GUARDIAN OF SERENITY

Practice address

22155 Wildwood Park Rd
1223
Richmond, TX 77469

Phone

(832) 893-4200

NPI assigned

May 24, 2016

Last updated

May 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandy TaylorNPI 1134581408

Title

Ceo/ Program Manager

Phone

(832) 893-4200

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandy Taylor

  • Behavior Technician
  • Austin, TX
  • NPI 1134581408
  NPD (past) Authorized official

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1740638394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22155 WILDWOOD PARK RD",
            "address_2": "1223",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22155 WILDWOOD PARK RD",
            "address_2": "1223",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77469",
            "telephone_number": "832-893-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN OF SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CEO/ PROGRAM MANAGER",
        "authorized_official_telephone_number": "832-893-4200"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karnisha Mardell Gregory
• Yaslyn Griffin
• Gro Providers Services
• Cassie Renae Grochett, MA, LPC, LCDC
• Guardian Medical Supply LLC
• Guardian Urgent Solution LLC
• Dianne Kuan Guarte
• Krystal L Guerrero
• Julius Guiang, PMHNP-BC
• Guiding Light Behavioral Therapies LLC

• Preferred Provider Organization in Richmond, TX
• Providers in Richmond, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.