SERENA KAMDAR MAZZOLA PROFESSIONAL PSYCHOLOGY CORPORATION
NPI 1174392054
Counselor - Mental Health in Danville, CA

Active since December 20, 2023
4155 BLACKHAWK PLAZA CIR STE 101, DANVILLE, CA 94506(925) 683-4884 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Serena Kamdar Mazzola Professional Psychology Corporation NPPES

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

SERENA KAMDAR MAZZOLA PROFESSIONAL PSYCHOLOGY CORPORATION (NPI 1174392054), doing business as Blackhawk Family Development Center, is a healthcare organization registered as a mental health in Danville, California and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Newport Beach and lists Serena Mazzola, President, as its authorized official.

NPPES Registry Identity

NPI1174392054
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSERENA KAMDAR MAZZOLA PROFESSIONAL PSYCHOLOGY CORPORATION
Location Address4155 BLACKHAWK PLAZA CIR STE 101Danville, CA 94506-4829
Mailing Address4155 Blackhawk Plaza Cir Ste 101Danville, CA 94506-4829 · (925) 683-4884
Organization SubpartNo
Authorized OfficialSerena MazzolaPresident · (925) 549-2610
Enumeration DateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
NPI 1174392054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
4155 BLACKHAWK PLAZA CIR STE 101, Danville, CA 94506

Other Names 4

Doing Business AsBlackhawk Family Development Center
Doing Business AsFamily Development Collective
Doing Business AsNewport Beach Family Development Center
Former Legal Business NameSurina Kamdar Mazzola Professional Psychology Corporation

Secondary Practice Location 1

Location 123 Corporate Plaza Dr Ste 150Newport Beach, CA 92660-7908 · Phone (949) 779-0414

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

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
4155 BLACKHAWK PLAZA CIR STE 101
DANVILLE, CA 94506
Marriage & Family Therapist
4155 BLACKHAWK PLAZA CIR STE 101
DANVILLE, CA 94506
Marriage & Family Therapist
4155 BLACKHAWK PLAZA CIR STE 101
DANVILLE, CA 94506
Psychologist
4155 BLACKHAWK PLAZA CIR STE 101
DANVILLE, CA 94506

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 Serena Kamdar Mazzola Professional Psychology Corporation's NPI number?

The NPI number for Serena Kamdar Mazzola Professional Psychology Corporation is 1174392054. It was assigned to this organization in the NPPES registry on December 20, 2023. The provider is doing business as Blackhawk Family Development Center, Family Development Collective and Newport Beach Family Development Center. The provider was formerly known as Surina Kamdar Mazzola Professional Psychology Corporation.

Where is Serena Kamdar Mazzola Professional Psychology Corporation located?

Serena Kamdar Mazzola Professional Psychology Corporation is located at 4155 Blackhawk Plaza Cir Ste 101, Danville, CA 94506. The listed phone number is (925) 683-4884.

What is Serena Kamdar Mazzola Professional Psychology Corporation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Serena Kamdar Mazzola Professional Psychology Corporation was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.