SERENITY BEHAVIORAL MEDICINE LLC
NPI 1104605484
Psychiatry & Neurology - Psychiatry in Holiday, FL

Active since September 26, 2023
1015 US HIGHWAY 19, HOLIDAY, FL 34691(727) 935-1144(727) 935-1133 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Serenity Behavioral Medicine Llc NPPES

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

SERENITY BEHAVIORAL MEDICINE LLC (NPI 1104605484) is a healthcare organization registered as a psychiatry in Holiday, Florida and active in the NPI registry since September 2023. The organization lists Mona Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1104605484
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSERENITY BEHAVIORAL MEDICINE LLC
Location Address1015 US HIGHWAY 19Holiday, FL 34691-5636
Mailing Address1015 Us Highway 19Holiday, FL 34691-5636 · (727) 935-1144 · Fax (727) 935-1133
Fax(727) 935-1133
Organization SubpartNo
Authorized OfficialMona ShahOwner · (727) 421-5145
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1104605484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
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.
1015 US HIGHWAY 19, Holiday, FL 34691

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serenity Behavioral Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Serenity Behavioral Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1083098206
1015 US HIGHWAY 19
Holiday, FL 34691
(727) 935-1144
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Behavioral Medicine LLC's NPI number?

The NPI number for Serenity Behavioral Medicine LLC is 1104605484. It was assigned to this organization in the NPPES registry on September 26, 2023.

Where is Serenity Behavioral Medicine LLC located?

Serenity Behavioral Medicine LLC is located at 1015 Us Highway 19, Holiday, FL 34691. The listed phone number is (727) 935-1144.

What is Serenity Behavioral Medicine LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Serenity Behavioral Medicine LLC enrolled in Medicare?

Yes. Serenity Behavioral Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Behavioral Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Serenity Behavioral Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serenity Behavioral Medicine LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.