Active NPI
Serendipity Psychiatric PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wyomissing, PA
National Provider Identifier
1982598413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SERENDIPITY PSYCHIATRIC PLLC
- Practice address
- 12 Commerce Dr
Wyomissing, PA 19610-3349 - Phone
- (484) 509-1177
- Fax
- (484) 509-0716
- NPI assigned
- Jun 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen Marshalll
- Title
- Ceo
- Phone
- (908) 506-0108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
12 Commerce Dr
Wyomissing, PA 19610-3349
Mailing address
12 Commerce Dr
Wyomissing, PA 19610-3349
Phone (484) 509-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12 Commerce Dr
Wyomissing, PA 19610
Phone (484) 509-1177
12 Commerce Dr
Ste B
Wyomissing, PA 19610
Phone (484) 509-1177
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Enola, PA
- NPI 1851837900
-
- Psychiatry Physician
- Wyomissing, PA
- NPI 1700992948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753401600000",
"number": "1982598413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 COMMERCE DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103349",
"telephone_number": "484-509-1177",
"fax_number": "484-509-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 COMMERCE DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103349",
"telephone_number": "484-509-1177",
"fax_number": "484-509-0716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENDIPITY PSYCHIATRIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-09",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A",
"authorized_official_last_name": "MARSHALLL",
"authorized_official_first_name": "COLLEEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-506-0108"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.