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SERENITY BEHAVIORAL HEALTH AND INTEGRATIVE MEDICINE NPI 1922464783


NPI Information

NPI: 1922464783
Provider Name: SERENITY BEHAVIORAL HEALTH AND INTEGRATIVE MEDICINE
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
8 HEARTWELL DR
GROTON, CT
ZIP 06340
Phone: (860) 326-5597
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SERENITY BEHAVIORAL HEALTH AND INTEGRATIVE MEDICINE is a prescribing (medical) psychologist in Groton, CT. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. SERENITY BEHAVIORAL HEALTH AND INTEGRATIVE MEDICINE NPI is 1922464783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8 HEARTWELL DR
GROTON, CT
ZIP 06340-873
Phone: (860) 326-5597

The provider's authorized official is Lucas Wratchford .
The authorized official title is Office Manager and has the following contact phone number (860) 326-5597.

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/11/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)Yes

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: 4/28/2024

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