Organization Active NPI

Serenity Behavioral Science Center

  • Psychiatry Physician
  • West Chester, OH
National Provider Identifier
1851604193
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35088216 Issued in OH
Legal business name
SERENITY BEHAVIORAL SCIENCE CENTER
Practice address
7760 University CT
Suite H
West Chester, OH 45069-3371
Phone
(513) 847-4491
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Jayasree J Nandagopal, MDNPI 1215072301
Title
Owner
Phone
(513) 847-4491

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 35088216 OH Primary

Addresses

Primary practice location

7760 University CT
Suite H
West Chester, OH 45069-3371

Mailing address

7760 University CT
Suite H
West Chester, OH 45069-3371
Phone (513) 847-4491

National Provider Directory

National Provider Directory
Tax ID family
Serenity Behavioral Science Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7760 University Dr
Ste H
West Chester, OH 45069
Phone (513) 423-0504

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1851604193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 UNIVERSITY CT",
            "address_2": "SUITE H",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371",
            "telephone_number": "513-847-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 UNIVERSITY CT",
            "address_2": "SUITE H",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693371",
            "telephone_number": "513-847-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BEHAVIORAL SCIENCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "NANDAGOPAL",
        "authorized_official_first_name": "JAYASREE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-847-4491",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35088216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.