Active NPI
Serene Mind Wellness Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- Cheverly, MD
National Provider Identifier
1821899634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SERENE MIND WELLNESS CENTER LLC
- Practice address
- 6490 Landover Rd Ste H
Cheverly, MD 20785-1443 - Phone
- (315) 547-0502
- NPI assigned
- Mar 19, 2025
- Last updated
- Oct 16, 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
- Tiffany Adeyemo
- Title
- Owner
- Phone
- (315) 547-0502
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
6490 Landover Rd Ste H
Cheverly, MD 20785-1443
Mailing address
2510 Cheshaire Dr
Baltimore, MD 21244-1968
Phone (315) 547-0502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Rockville, MD
- NPI 1528743630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1821899634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 CHESHAIRE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212441968",
"telephone_number": "315-547-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6490 LANDOVER RD STE H",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851443",
"telephone_number": "315-547-0502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENE MIND WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-19",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "ADEYEMO",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-547-0502"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.