NPIMap

Organization Active NPI

Serenity Psychological Services PLLC

  • Psychologist
  • Carrollton, TX
National Provider Identifier
1922511286
Registry record updated Mar 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35153 Issued in TX
Legal business name
SERENITY PSYCHOLOGICAL SERVICES PLLC
Practice address
4221 Medical Pkwy Ste 400
Carrollton, TX 75010-4548
Phone
(469) 416-4882
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2018

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

Authorized official

Name
Chong Wang, PHDNPI 1225540313
Title
Owner
Phone
(469) 416-4882

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 35153 TX Primary

Addresses

Primary practice location

4221 Medical Pkwy Ste 400
Carrollton, TX 75010-4548

Mailing address

3008 Mill Ridge Dr
Plano, TX 75025-3970

Other names 1

  • Cressy Wang PhD Other name

National Provider Directory

National Provider Directory

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": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520121600000",
    "number": "1922511286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 MILL RIDGE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750253970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MEDICAL PKWY STE 400",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104548",
            "telephone_number": "469-416-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-03-04",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-416-4882",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "35153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cressy Wang PhD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cressy Wang PhD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; 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.