Organization Active NPI

Serene Center Inc

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1932539657
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190645AP Issued in CA
Legal business name
SERENE CENTER INC
Practice address
1215 E 4TH St Ste 102
Long Beach, CA 90802-7543
Phone
(562) 366-3557
Fax
(562) 366-3586
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Andrew Terry Martin, CADC II, SAP, CA-CCS
Title
President
Phone
(562) 366-3557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190645AP CA Primary

Addresses

Primary practice location

1215 E 4TH St Ste 102
Long Beach, CA 90802-7543

Mailing address

1215 E 4TH St Ste 102
Long Beach, CA 90802-7543
Phone (562) 366-3557

National Provider Directory

National Provider Directory
Tax ID family
Serene Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1932539657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E 4TH ST STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908027543",
            "telephone_number": "562-366-3557",
            "fax_number": "562-366-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E 4TH ST STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908027543",
            "telephone_number": "562-366-3557",
            "fax_number": "562-366-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-366-3557",
        "authorized_official_credential": "CADC II, SAP, CA-CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190645AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.