Serenity Mind and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SERENITY MIND AND WELLNESS LLC

Practice address

303 Wyman St Ste 300
Waltham, MA 02451-1255

Phone

(404) 453-2337

NPI assigned

Aug 10, 2026

Organization subpart

No

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

Authorized official

Name

Jackie K Zziwa, PMHNP-BC

Title

Member

Phone

(404) 453-2337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1942124151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3276 BUFORD DR STE 104-131",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195702",
            "telephone_number": "404-453-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WYMAN ST STE 300",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511255",
            "telephone_number": "404-453-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MIND AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-09",
        "status": "A",
        "authorized_official_last_name": "ZZIWA",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-453-2337",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Maurice Sebastian Selwyn, CNP
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• Nicole M. Semon, PT, DPT, PCS
• Judith W Semonoff, LICSW
• Diana Sengooba
• Thomas Servidio
• Keri Anne Sexton, NP
• Krina Shah, DPT
• Shreyansh Shah, MD
• Sharon Shaham, MS

• Psychiatric/Mental Health Nurse Practitioner in Waltham, MA
• Providers in Waltham, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.