COASTAL SERENITY PSYCHIATRY PLLC (NPI# 1942648043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942648043 |
| Entity Type | Organization |
| Organization Name | COASTAL SERENITY PSYCHIATRY PLLC |
| Practice Address |
824 Gum Branch Rd Suite Q Jacksonville NC 28540-6272 |
| Mailing Address |
201 Canaan Ct Jacksonville NC 28546-5280 |
| Practice Telephone | 8146029096 |
| Practice Fax Number | 9103461054 |
| Mailing Telephone | 8146029096 |
| Mailing Fax Number | 9103461054 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | DR. MARIE ANN SPRAGUE (OWNER) |
| Authorized Official Telephone | 8146029096 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2010-00175 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
824 GUM BRANCH RD SUITE Q |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-6272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609833235 | Nuday Companion Care Services | Home Health | 824 Gum Branch Rd, Gumbranch Square, Suite J, Jacksonville, NC 28540-6269 | 2006-04-27 |
| 1528506144 | Alyssa Nicole Slusser | Physical Therapist | 824 Gum Branch Rd, Suite W, Jacksonville, NC 28540-6272 | 2017-02-02 |
| 1780072736 | Debra Rhodes | Counselor | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2014-12-29 |
| 1255771242 | Sara Ellis | Social Worker | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2013-07-05 |
| 1619223245 | Vicki Darleen Lane | Social Worker | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2012-08-01 |
| 1619254505 | Therapy Flow | Community/Behavioral Health | 824 Gum Branch Rd, Suite B. Room 4, Jacksonville, NC 28540-6272 | 2011-11-07 |
| 1982996674 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor | 824 Gum Branch Rd, Suites C & D, Jacksonville, NC 28540-6272 | 2011-05-12 |
| 1093040503 | Dawn Rochelle | Social Worker | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2009-10-16 |
| 1841421302 | Loretta Keelin Counseling, Inc | Social Worker | 824 Gum Branch Rd, Suite O, Jacksonville, NC 28540-6272 | 2009-08-01 |
| 1467692814 | Rha Health Services, Inc. | Community/Behavioral Health | 824 Gum Branch Rd, Jacksonville, NC 28540-6272 | 2009-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| 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 |
|---|---|---|---|---|
| 1902441983 | Rebecca Taylor Dickerson | Psychiatry & Neurology | 5927 Old Timuquana Rd, Jacksonville, FL 32210-7889 | 2019-11-13 |
| 1821631045 | Rashan Jammeelah Jones | Psychiatry & Neurology | 5991 Chester Ave Ste 106, Jacksonville, FL 32217-2265 | 2019-10-21 |
| 1407320690 | Artistic Psychiatric Associates LLC | Psychiatry & Neurology | 9550 Regency Square Blvd Ste 903, Jacksonville, FL 32225-8116 | 2019-01-22 |
| 1447754080 | Julia Teytelbaum | Psychiatry & Neurology | 580 W 8th St Fl II6, Jacksonville, FL 32209-6533 | 2018-03-20 |
| 1205330933 | Luka Sogorovic | Psychiatry & Neurology | 580 W 8th St Fl 6, Jacksonville, FL 32209-6533 | 2018-03-19 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1033503503 | Victor Bryant Adriano Santos | Psychiatry & Neurology | 8823 San Jose Blvd Ste 301, Jacksonville, FL 32217-4290 | 2015-03-23 |
| 1336540830 | Angeles Alvarez-mullin | Psychiatry & Neurology | 7825 Baymeadows Way Suite 300, Florida Dept of Health, Division of Disabilities Determ, Jacksonville, FL 32256 | 2014-09-16 |
| 1639512833 | Robert D. Puder | Psychiatry & Neurology | 1250 Western Blvd Ste L2, #292, Jacksonville, NC 28546-6755 | 2013-04-08 |
| 1043586746 | Henry Lepely Md Pa | Psychiatry & Neurology | 4131 University Blvd S Ste 7, Jacksonville, FL 32216-4346 | 2012-03-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on COASTAL SERENITY PSYCHIATRY PLLC.
| 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.