NPIMap

Organization Active NPI

Serenity Psychological Services and Consulting LLC

  • Clinical Psychologist
  • Hays, KS
National Provider Identifier
1942655337
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2318 Issued in KS
Legal business name
SERENITY PSYCHOLOGICAL SERVICES AND CONSULTING LLC
Practice address
1010 Downing Ave Ste 60
Hays, KS 67601-2461
Phone
(785) 621-4417
Fax
(866) 473-6903
NPI assigned
May 4, 2016
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Dr. Robert D Yates III, PH.D.NPI 1356690689
Title
Ceo
Phone
(785) 302-1240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 572 KS
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2318 KS
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 2318 KS Primary

Addresses

Primary practice location

1010 Downing Ave Ste 60
Hays, KS 67601-2461

Mailing address

1010 Downing Ave Ste 60
Hays, KS 67601-2461
Phone (785) 621-4417

National Provider Directory

National Provider Directory

Locations

1010 Downing Ave
Ste 60
Hays, KS 67601
Phone (785) 621-4417

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1942655337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 DOWNING AVE STE 60",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012461",
            "telephone_number": "785-621-4417",
            "fax_number": "866-473-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DOWNING AVE STE 60",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012461",
            "telephone_number": "785-621-4417",
            "fax_number": "866-473-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY PSYCHOLOGICAL SERVICES AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-302-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "572",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "2318",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.