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MY JAVOY AT SERENITY WELLNESS CARE LLC
NPI 1609515022
Psychiatry & Neurology - Neurology in Olney, MD

Active since June 02, 2022
18625 HEDGEGROVE TER, OLNEY, MD 20832(240) 780-8003 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About My Javoy At Serenity Wellness Care Llc NPPES

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

MY JAVOY AT SERENITY WELLNESS CARE LLC (NPI 1609515022) is a healthcare organization registered as a neurology in Olney, Maryland and active in the NPI registry since June 2022. The organization lists Fynda Fillie-faboe, Cep, as its authorized official.

NPPES Registry Identity

NPI1609515022
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameMY JAVOY AT SERENITY WELLNESS CARE LLC
Location Address18625 HEDGEGROVE TEROlney, MD 20832-1812
Mailing Address18625 Hedgegrove TerOlney, MD 20832-1812 · (240) 780-8003
Phone(240) 780-8003
Organization SubpartNo
Authorized OfficialFynda Fillie-faboeCep · (240) 780-8003
Enumeration DateJune 2, 2022
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1609515022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
18625 HEDGEGROVE TER, Olney, MD 20832
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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)

My Javoy At Serenity Wellness Care 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 My Javoy At Serenity Wellness Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fynda Fillie-Faboe
Nurse Practitioner
NPI 1649846999
11140 ROCKVILLE PIKE # S100-743
Rockville, MD 20852
(240) 780-8003
✔ PECOS✔ Accepts Medicare8.5 mi

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 My Javoy At Serenity Wellness Care LLC's NPI number?

The NPI number for My Javoy At Serenity Wellness Care LLC is 1609515022. It was assigned to this organization in the NPPES registry on June 2, 2022.

Where is My Javoy At Serenity Wellness Care LLC located?

My Javoy At Serenity Wellness Care LLC is located at 18625 Hedgegrove Ter, Olney, MD 20832. The listed phone number is (240) 780-8003.

What is My Javoy At Serenity Wellness Care LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is My Javoy At Serenity Wellness Care LLC enrolled in Medicare?

Yes. My Javoy At Serenity Wellness Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through My Javoy At Serenity Wellness Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to My Javoy At Serenity Wellness Care 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 My Javoy At Serenity Wellness Care LLC was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.