SERENE MINDS, LLC NPI 1164887683

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Wilmington, DE

About SERENE MINDS, LLC

Serene Minds, Llc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1164887683. The practitioner's primary taxonomy code is Clinic/Center (261QM0801X). The provider is registered as an organization and their NPI record was last updated 3 years ago.

NPI

1164887683

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSERENE MINDS, LLC
Provider Location Address410 FOULK RD SUITE 102 WILMINGTON, DE 19803 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address8 PENNOCK DR GARNET VALLEY, PA 19060 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date12-28-2015 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-28-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QM0801X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License No.C-1 0007149
License StateDE

Business Address

SERENE MINDS, LLC
410 FOULK RD
SUITE 102
WILMINGTON, DE
ZIP 19803
Phone: (302) 478-6199
Fax: (302) 397-2395

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Mailing Address

SERENE MINDS, LLC
8 PENNOCK DR
GARNET VALLEY, PA
ZIP 19060
Phone: (302) 312-9478
Fax: (302) 397-2395

Authorized Official

Authorized Official NameDR. SANDEEP KUMAR GUPTA MD Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(302) 478-6199

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093857625 DARLENE EDITH ANNAS A.P.R.N., B.C.
Individual
Registered Nurse (Psych/Mental Health)410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2285
1124144696DR. ELLEN FEINGOLD M.D.
Individual
Homeopath410 FOULK RD SUITE 202
WILMINGTON, DE 19803
(302) 764-1882
1144683152 DAVID ALAN KOHL FNP
Individual
Nurse Practitioner (Family)410 FOULK RD SUITE 200 B
WILMINGTON, DE 19803
(302) 762-6675
1205230687FOCUS INNOVATIONS, LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2285
1215278726FAMILY EYE CARE, LLC
Organization
Clinic/Center (Medical Specialty)410 FOULK RD SUITE 102
WILMINGTON, DE 19803
(302) 764-5300
1295740033 VINOD KRIPALU M.D.
Individual
Internal Medicine410 FOULK RD SUITE 200B
WILMINGTON, DE 19803
(302) 762-6675
1376897090TRINITY MEDICAL ASSOCIATES PA
Organization
Internal Medicine410 FOULK RD SUITE 200B
WILMINGTON, DE 19803
(302) 762-6675
1386725794DR. ERIN L. RAUTIO DMD
Individual
Dentist (General Practice)410 FOULK RD SUITE 204
WILMINGTON, DE 19803
(302) 762-6400
1538104856 JAMES BANAAG SALVA M.D.
Individual
Family Medicine410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2283
1588627681 DAVID JACK MALEH M.D.
Individual
Internal Medicine410 FOULK RD SUITE 100
WILMINGTON, DE 19803
(302) 762-2820
1619015179MR. RUSSEL DAMIEN BUSKIRK LCSW, LCDP
Individual
Social Worker (Clinical)410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2285
1710928668 PAULINE M. DEMPSEY LCSW
Individual
Social Worker (Clinical)410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2283
1710949375MRS. JANET ELLEN BLEDSOE MSN,APRN,BC,CRNP
Individual
Nurse Practitioner (Psych/Mental Health)410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2285
1730194580 CHETANA KRIPALU M.D.
Individual
Family Medicine410 FOULK RD SUITE 200B
WILMINGTON, DE 19803
(302) 762-6675
1801042320 LAKEETRA MCCLAINE JOSEY MSN, APN-BC, CRNP
Individual
Nurse Practitioner (Psych/Mental Health)410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2285
1811993249PAHNKE, PENMAN, AND WHITNEY PA
Organization
Surgery410 FOULK RD STE 200A
WILMINGTON, DE 19803
(302) 764-2380
1831597954DAVID J MALEH, MD, PA
Organization
Internal Medicine410 FOULK RD SUITE 100
WILMINGTON, DE 19803
(302) 762-2820
1942633573 GREGORY D COOPER N.P.
Individual
Nurse Practitioner (Psych/Mental Health)410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2285
1952498107JAMES B. SALVA, M.D., P.A.
Organization
Family Medicine410 FOULK RD SUITE 105
WILMINGTON, DE 19803
(302) 762-2283
1972841575DR. EMIL JULIUS CICVAK MD
Individual
Internal Medicine410 FOULK RD
WILMINGTON, DE 19803
(302) 762-5832
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