Individual provider Active NPI

Serena La Nimityongskul, B.S.

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1831584168
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.36294 Issued in AL
Practice address
5870 USA South Drive
Mobile, AL 36688-0001
Phone
(251) 460-7151
Fax
(251) 414-8227
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.36294 AL Primary

Addresses

Primary practice location

5870 USA South Drive
Mobile, AL 36688-0001

Mailing address

5870 USA South Drive
Mobile, AL 36688-0001
Phone (251) 460-7151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190619002693 AL Practitioner - Psychiatry 4284998097 Reassigns benefits to 2 organizations
I20210711000020 HI Practitioner - Psychiatry 4284998097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

1441 Kapiolani Blvd
FL 16
Honolulu, HI 96814-4402
Phone (808) 432-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Collective LLC CurrentSince Aug 28, 2024 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Mar 30, 2019 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Mar 30, 2019 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jun 21, 2021 Accepting new patients

Locations

5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153

960 Downtowner Blvd
Mobile, AL 36609
Phone (251) 480-0070

501 Bishop Ln N
Mobile, AL 36608
Phone (251) 450-2240

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

3929 Airport Blvd
Ste 2-204
Mobile, AL 36609
Phone (251) 421-2812

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

94-1480 Moaniani St
Ofc
Waipahu, HI 96797

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1831584168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 USA SOUTH DRIVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880001",
            "telephone_number": "251-460-7151",
            "fax_number": "251-414-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 USA SOUTH DRIVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880001",
            "telephone_number": "251-460-7151",
            "fax_number": "251-414-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMITYONGSKUL",
        "first_name": "SERENA",
        "middle_name": "LA",
        "name_prefix": "Ms.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.36294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.