NPIMap

Organization Active NPI

Serenity Mental Health

  • Clinical Medical Laboratory
  • Las Vegas, NV
National Provider Identifier
1952753345
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
29D2104141 Issued in NV
Legal business name
SERENITY MENTAL HEALTH
Practice address
1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone
(702) 630-0883
Fax
(702) 815-1554
NPI assigned
Jul 8, 2016
Last updated
Jul 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Gaby Cruz, MS, MFTI
Title
Owner
Phone
(702) 630-0883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 29D2104141 NV Primary

Addresses

Primary practice location

1901 S Jones Blvd
Las Vegas, NV 89146-1260

Mailing address

1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone (702) 630-0883

National Provider Directory

National Provider Directory
Tax ID family
Serenity Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1952753345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-630-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-630-0883",
            "fax_number": "702-815-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "GABY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-630-0883",
        "authorized_official_credential": "MS, MFTI"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NV",
            "license": "29D2104141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.