Serenity Medical Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SERENITY MEDICAL CENTER LLC

Practice address

2715 Briarcliff Ave
Henderson, NV 89074-1210

Phone

(702) 412-9077

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Dorine Haynes

Title

Owner

Phone

(702) 412-9077

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 1

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

• Darya Shahbazy

  • Mental Health Counselor
  • Henderson, NV
  • NPI 1093227159
  NPD (past)

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1750925517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 BRIARCLIFF AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741210",
            "telephone_number": "702-412-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 BRIARCLIFF AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741210",
            "telephone_number": "702-412-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "DORINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-412-9077"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myra@serenitymedical.com",
            "affiliation": "N",
            "address_1": "2715 Briarcliff Ave",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890741210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Irene Sepulveda
• Sequent Corporation
• Amber Nicole Serafin
• Lauren Serban
• Serenity ABA Therapy LLC
• Serenity Mind Spa PLLC
• Serenity Therapeutic Center LLC
• Sergio Hinojosa DMD PLLC
• Deanna Serio
• Oscar Serrano Alvarez

• Primary Care Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.