SERENITY PSYCHIATRIC SERVICES LLC NPI 1366167272

NPI Information

  • NPI: 1366167272
  • Provider Name: SERENITY PSYCHIATRIC SERVICES LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 32D2276229
  • Address: 3900 EUBANK BLVD NE STE 9B
    ALBUQUERQUE, NM
    ZIP 87111
  • Phone: (505) 225-7188

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NPI Details

SERENITY PSYCHIATRIC SERVICES LLC is a psychiatric/mental health nurse practitioner in Albuquerque, NM. SERENITY PSYCHIATRIC SERVICES LLC NPI is 1366167272. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3900 EUBANK BLVD NE STE 9B
ALBUQUERQUE, NM
ZIP 87111-427
Phone: (505) 225-7188

The provider's authorized official is Anu Neeliyara .
The authorized official title is Owner and has the following contact phone number (505) 225-7188.

The CLIA number assigned to this NPI record is 32D2276229 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2022 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2363LF0000XNurse PractitionerFamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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