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SERENITY GREEN
NPI 1063276038
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since February 09, 2024
10065 OLD GROVE RD STE 102, SAN DIEGO, CA 92131(619) 858-5479 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Serenity Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITY GREEN (NPI 1063276038) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1063276038
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSERENITY GREEN
Location Address10065 OLD GROVE RD STE 102San Diego, CA 92131-1664
Mailing Address10065 Old Grove Rd Ste 102San Diego, CA 92131-1664 · (619) 757-3846
Phone(619) 858-5479
Sole ProprietorNo
Enumeration DateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
✔ NPI 1063276038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10065 OLD GROVE RD STE 102, San Diego, CA 92131
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SESEN NEGASH PHD
Marriage & Family Therapist
10065 OLD GROVE RD STE 102
SAN DIEGO, CA 92131
San Diego County (858) 547-9803
DR. YAMILKA URQUIZA MENDOZA PSYD IN MFT
Psychologist (Family)
10065 OLD GROVE RD STE 102
SAN DIEGO, CA 92131
San Diego County (239) 877-2039
SCOTT ROLAND WOOLLEY PHD
Marriage & Family Therapist
10065 OLD GROVE RD STE 102
SAN DIEGO, CA 92131
San Diego County (760) 271-3632
LAURA CASTRO
Counselor (Mental Health)
10065 OLD GROVE RD STE 102
SAN DIEGO, CA 92131
San Diego County (619) 387-8386
ALLIANT INTERNATIONAL UNIVERSITY, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
10065 OLD GROVE RD STE 102
SAN DIEGO, CA 92131
San Diego County (858) 547-9803
HALCYON FAMILY HEALTH, INC.
Counselor
10065 OLD GROVE RD STE 102
SAN DIEGO, CA 92131
San Diego County (619) 786-0052
SHANELLE ROESLER
Marriage & Family Therapist
10065 OLD GROVE RD STE 102
SAN DIEGO, CA 92131
San Diego County (858) 547-9803
BRIDGET SUZANNE KERMORRIS
Marriage & Family Therapist
10065 OLD GROVE RD STE 102
SAN DIEGO, CA 92131
San Diego County (919) 932-0090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenity Green's NPI number?

The NPI number for Serenity Green is 1063276038. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Where is Serenity Green located?

Serenity Green practices at 10065 Old Grove Rd Ste 102, San Diego, CA 92131. The listed phone number is (619) 858-5479.

What is Serenity Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Serenity Green was last updated on February 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.