SERENITY BEHAVIORAL HEALTH LLC
NPI 1023365624
Psychologist - Addiction (Substance Use Disorder) in Hollywood, FL
NPI Status: Active since August 14, 2012
Contact Information
2303 HOLLYWOOD BLVD
SUITE 12
HOLLYWOOD, FL
ZIP 33020
Phone: (954) 367-7944
Fax: (954) 374-8311
- Organization
- Psychologist
- Addiction (Substance Use Disorder)
- CLIA Number: 10D2049772
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 11-13-2026
About SERENITY BEHAVIORAL HEALTH LLC
This page provides the complete NPI Profile along with additional information for Serenity Behavioral Health Llc, a provider established in Hollywood, Florida operating as a Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1023365624 assigned on August 2012. The practitioner's primary taxonomy code is 103TA0400X with license number ME99606 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Salvatore Palermo (Manager)
- NPI
- 1023365624
- Provider Name
- SERENITY BEHAVIORAL HEALTH LLC
- Entity Type
- Organization
- Location Address
- 2303 HOLLYWOOD BLVD SUITE 12 HOLLYWOOD, FL 33020
- Location Phone
- (954) 367-7944
- Location Fax
- (954) 374-8311
- Mailing Address
- 2303 HOLLYWOOD BLVD SUITE 12 HOLLYWOOD, FL 33020
- Mailing Phone
- (954) 367-7944
- Mailing Fax
- (954) 374-8311
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2012
- Last Update Date
- 08-14-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Addiction (Substance Use Disorder)
- Taxonomy Code
- 103TA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- ME99606
- License State
- FL
- Taxonomy Description
- A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2049772
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- November 14, 2024
- Certificate Expiration Date
- November 13, 2026
- Laboratory Director
- ANTONIO PELLERITO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Serenity Behavioral Health Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023365624, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
HOLLYWOOD, FL 33020
HOLLYWOOD, FL 33020
HOLLYWOOD, FL 33020
HOLLYWOOD, FL 33020
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023365624, enumerated as an "organization" on August 14, 2012.
The provider is located at 2303 HOLLYWOOD BLVD SUITE 12 HOLLYWOOD, FL 33020 and the phone number is (954) 367-7944.
Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).
