SERENITY OF CENTRAL FLORIDA P.A. (NPI# 1043546922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043546922 |
| Entity Type | Organization |
| Organization Name | SERENITY OF CENTRAL FLORIDA P.A. |
| Practice Address |
1114 W Dixie Ave Leesburg FL 34748-6312 |
| Mailing Address |
Po Box 1840 Lady Lake FL 32158-1840 |
| Practice Telephone | 3525778197 |
| Practice Fax Number | 3525778741 |
| Mailing Telephone | 3525778197 |
| Mailing Fax Number | 3525778741 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2012-05-29 |
| Authorized Official Name | YASIN CHOUDRY (OWNER) |
| Authorized Official Telephone | 3525778197 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
ME 96757 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1114 W DIXIE AVE |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-6312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194705798 | William Steven Saunders | Psychologist | 1114 W Dixie Ave, Leesburg, FL 34748-6312 | 2006-01-19 |
| 1154644219 | Montserrat Casado-kehoe | Marriage & Family Therapist | 1114 W Dixie Ave, Leesburg, FL 34748-6312 | 2010-03-03 |
| 1588999536 | Benjamin James Hargreaves | Counselor | 1114 W Dixie Ave, Leesburg, FL 34748-6312 | 2009-10-08 |
| 1053339986 | Central Florida Psychological Consultants Inc | Psychologist | 1114 W Dixie Ave, Leesburg, FL 34748-6312 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356795629 | Florida Psych Services Inc. | Psychologist | 13436 Sw Pembroke Cir N, Lake Suzy, FL 34269-6909 | 2016-04-22 |
| 1053712125 | Lysal Enterprises, Inc. | Psychologist | 7215 Zapata Dr, Jacksonville, FL 32210-4772 | 2014-09-09 |
| 1295075372 | Pinellas Psychiatric Services, LLC | Psychologist | 25 Franklin Ct S, Unit A, St Petersburg, FL 33711-5136 | 2013-02-26 |
| 1376883074 | Pauline S Powers Md LLC | Psychologist | 7401 Temple Terrace Hwy Ste A, Temple Terrace, FL 33637-5784 | 2013-02-18 |
| 1982836391 | Back Door, LLC | Psychologist | 1639 Cape Coral Pkwy E Ste 211, Cape Coral, FL 33904-9657 | 2009-08-18 |
| 1508046855 | Sunrise Mental Health Inc | Psychologist | 250 Brooks Street, Suite C, Fort Walton Beach, FL 32548 | 2007-11-05 |
| 1245429463 | Broward Institute of Neuro Science L L C | Psychologist | 7501 Wiles Rd Ste 105, Coral Springs, FL 33067-2063 | 2007-10-24 |
| 1083802821 | Treasure Coast Psychiatric Services, P.a. | Psychologist | 789 S Federal Hwy Suite 213, Stuart, FL 34994-2962 | 2007-10-05 |
| 1083828438 | Phil K Springer | Psychologist | Florida State Prison, 7819 Nw 228th Street, Raiford, FL 32026-0001 | 2007-05-09 |
| 1346465424 | Janis Faith Heffron | Psychologist | 1317 Winewood Blvd Ste 6 Room 213, Tallahassee, FL 32399-6570 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.