SERENITY MEDICAL CENTER WEST LLC (NPI# 1467736561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467736561 |
| Entity Type | Organization |
| Organization Name | SERENITY MEDICAL CENTER WEST LLC |
| Practice Address |
10765 Lantern Road Suite 202 Fishers IN 46038-3597 |
| Practice Telephone | 3176214170 |
| Practice Fax Number | 3176214182 |
| Mailing Telephone | 3176214170 |
| Mailing Fax Number | 3176214182 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2012-06-20 |
| Authorized Official Name | SYED J KHAN (PARTNER) |
| Authorized Official Telephone | 3176214170 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
10765 LANTERN ROAD SUITE 202 |
| City | FISHERS |
| State | IN |
| Zip Code | 46038-3597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407807746 | Syed J Khan | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2006-05-12 |
| 1447527577 | Megan E Henning | Social Worker | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2011-11-17 |
| 1023290137 | Aimee M Nielsen | Social Worker | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2007-11-30 |
| 1033326947 | Kanwaldeep Sidhu | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2007-05-17 |
| 1497979793 | Michael R Quattrocchi | Psychologist | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447976 | Pratima Shrestha | Nurse Practitioner | 11680 Commercial Dr Ste 200, Fishers, IN 46038 | 2018-11-29 |
| 1295242782 | Monica Hengge | Counselor | 11650 Lantern Rd Ste 128, Fishers, IN 46038 | 2018-01-05 |
| 1912437146 | Aaron Justin Tai | Optometrist | 10967 Allisonville Rd Ste 120, Fishers, IN 46038 | 2017-06-20 |
| 1124411657 | Amy K Parris | Social Worker | 11650 N. Lantern Road, Suite 232, Fishers, IN 46038 | 2015-03-09 |
| 1174948202 | New Roots Behavior Strategies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13448 Fulton Drive, Fishers, IN 46038 | 2014-02-26 |
| 1306195292 | Planned Parenthood of Indiana Fishers | Clinic/Center | 8937 Technology Drive, Fishers, IN 46038 | 2012-09-06 |
| 1720336647 | Heather Jo Handley | Physical Therapist | 11650 N. Lantern Road, Suite 235, Fishers, IN 46038 | 2012-08-27 |
| 1770866287 | Kristin Nicole Eckerle | Pharmacist | 13962 Boulder Canyon Drive, Fishers, IN 46038 | 2011-09-21 |
| 1518267830 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 10312 Allisonville Rd, Fishers, IN 46038 | 2010-11-02 |
| 1316195316 | Barbara Elizabeth Rucker | Psychologist | 13179 Huff Blvd, Fishers, IN 46038 | 2008-09-03 |
| Find all providers in zip 46038 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051641 | Optimal Medical Services LLC | Psychiatry & Neurology | 10967 Allisonville Rd Ste 110b, Fishers, IN 46038-2634 | 2020-07-23 |
| 1790893139 | Scott Ian Levine | Psychiatry & Neurology | 11650 Lantern Rd, Suite 232, Fishers, IN 46038-2993 | 2006-08-27 |
| 1427050988 | Marvin Jay Miller | Psychiatry & Neurology | 10765 Lantern Rd, Suite 102, Fishers, IN 46038-3597 | 2005-08-15 |
| 1326318775 | Jagdish Dattatray Kulkarni | Psychiatry & Neurology | 10765 Lantern Rd, Suite F, Fishers, IN 46038-3596 | 2012-01-03 |
| 1508157389 | Kara Zimmerman Hwang | Psychiatry & Neurology | 11650 Lantern Rd, Suite 209, Fishers, IN 46038-2993 | 2011-04-27 |
| 1558662791 | Serenity Medical Center LLC | Psychiatry & Neurology | 10765 Lantern Rd, Ste 102, Fishers, IN 46038-3597 | 2010-11-04 |
| 1033326947 | Kanwaldeep Sidhu | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2007-05-17 |
| 1396870887 | Kara Zimmerman, M.d., LLC | Psychiatry & Neurology | 11650 Lantern Rd, Suite 209, Fishers, IN 46038-2993 | 2007-02-23 |
| 1265468466 | Themen S. Danielson Jr. | Psychiatry & Neurology | 9780 Lantern Rd, Suite 210, Fishers, IN 46037-4092 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585462 | Tracy Lynn Genovese | Psychiatry & Neurology | 2718 Laguardia St, Portage, IN 46368-3139 | 2020-07-08 |
| 1457988107 | Quality 360 Healthcare Alliance | Psychiatry & Neurology | 12900 N Meridian St Ste 140, Carmel, IN 46032-5401 | 2020-03-24 |
| 1245707751 | Pain Management Centers of America, Psc | Psychiatry & Neurology | 5320 Weston Rd # B, Evansville, IN 47712-3701 | 2018-11-01 |
| 1932697968 | Cadience Psych LLC | Psychiatry & Neurology | 1340 Blackthorne Trl N, Plainfield, IN 46168-5603 | 2018-04-25 |
| 1841796943 | Larrilyn Louise Grant | Psychiatry & Neurology | 355 W 16th St Dept Of, Indianapolis, IN 46202-2207 | 2018-04-05 |
| 1053761460 | Joel D Hart | Psychiatry & Neurology | 147 E Us Highway 36, Lynn, IN 47355-9193 | 2016-06-16 |
| 1275995698 | Shariff F Tanious | Psychiatry & Neurology | 355 W 16th St Ste 2364, Indianapolis, IN 46202-2279 | 2016-03-24 |
| 1871966523 | Virtual Consult Md LLC | Psychiatry & Neurology | 5444 E Indiana St, Suite 109, Evansville, IN 47715-2857 | 2015-11-03 |
| 1962881318 | Kevin Gerard Masterson | Psychiatry & Neurology | 550 University Blvd # 3124, Indianapolis, IN 46202-5149 | 2015-05-19 |
| 1447665559 | Anne Roney Wessel | Psychiatry & Neurology | 5811 Kingsley Dr, Indianapolis, IN 46220-2712 | 2014-06-26 |
| 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.