Serenity Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

SERENITY BEHAVIORAL HEALTH LLC

Practice address

616 Gold Star Hwy
Groton, CT 06340-6221

Phone

(860) 449-0200

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Ann Elisa Wratchford, PMHNP-BC APRN

Title

Owner

Phone

(860) 449-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1851665186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 GOLD STAR HWY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406221",
            "telephone_number": "860-449-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 GOLD STAR HWY",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406221",
            "telephone_number": "860-449-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "WRATCHFORD",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-449-0200",
        "authorized_official_credential": "PMHNP-BC APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1063598316",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Joseph Scruggs, MD
• Seacoast Orthopedic Surgery & Sports Medicine LLC
• Paul David Seeman, MD
• Kerry Grillo Seltzer, PT
• Serenity Behavioral Health and Integrative Medicine
• Scott T. Serviss, PSY.D.
• Marque A Setevage, APRN
• Judy-Lynn Shafer, APRN
• Chelsea Meagan Shaw
• Cody Eugene Shaw

• Psychiatric/Mental Health Registered Nurse in Groton, CT
• Providers in Groton, CT by specialty
• Psychiatric/Mental Health Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.