SERENE MINDS, LLC (NPI# 1164887683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164887683 |
| Entity Type | Organization |
| Organization Name | SERENE MINDS, LLC |
| Practice Address |
410 Foulk Rd Suite 102 Wilmington DE 19803-3820 |
| Mailing Address |
8 Pennock Dr Garnet Valley PA 19060-1400 |
| Practice Telephone | 3024786199 |
| Practice Fax Number | 3023972395 |
| Mailing Telephone | 3023129478 |
| Mailing Fax Number | 3023972395 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Authorized Official Name | DR. SANDEEP KUMAR GUPTA (OWNER) |
| Authorized Official Telephone | 3024786199 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
C-1 0007149 | DE | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912134222 | Serene Minds, LLC | Social Worker | 52 Traybern Blvd, Camden, DE 19934-1946 | 2009-06-12 |
| Street Address |
410 FOULK RD SUITE 102 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993249 | Pahnke, Penman, and Whitney Pa | Surgery | 410 Foulk Rd, Ste 200a, Wilmington, DE 19803-3802 | 2005-06-21 |
| 1295272730 | Greenbrook Tms Wilmington LLC | Clinic/Center | 410 Foulk Rd, Suite 105, Wilmington, DE 19803-3820 | 2017-01-23 |
| 1821540220 | Journey Wellness & Consulting Group | Social Worker | 410 Foulk Rd, Lombardy Center, Suite 106, Wilmington, DE 19803-3820 | 2016-11-01 |
| 1770935546 | Karalynn Angel Montgomery | Social Worker | 410 Foulk Rd, Suite 106, Wilmington, DE 19803-3820 | 2016-07-05 |
| 1326496514 | Michal Jan Tomaszewicz | Nurse Practitioner | 410 Foulk Rd, Suite 102, Wilmington, DE 19803-3820 | 2016-05-27 |
| 1144683152 | David Alan Kohl | Nurse Practitioner | 410 Foulk Rd, Suite 200 B, Wilmington, DE 19803-3820 | 2016-03-29 |
| 1831597954 | David J Maleh, Md, Pa | Internal Medicine | 410 Foulk Rd, Suite 100, Wilmington, DE 19803-3820 | 2014-12-06 |
| 1205230687 | Focus Innovations, LLC | Clinic/Center | 410 Foulk Rd, Suite 105, Wilmington, DE 19803-3820 | 2014-10-14 |
| 1942633573 | Gregory D Cooper | Nurse Practitioner | 410 Foulk Rd, Suite 105, Wilmington, DE 19803-3820 | 2013-08-19 |
| 1215278726 | Family Eye Care, LLC | Clinic/Center | 410 Foulk Rd, Suite 102, Wilmington, DE 19803-3820 | 2013-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204297 | Healing Adults & Adolescents Residential Treatment Program LLC | Clinic/Center | 100 Stroud St, Wilmington, DE 19805-4842 | 2020-04-24 |
| 1750926465 | Gwen Borcyk, Msw, Lcsw, Pllc | Clinic/Center | 313 Walnut St Ste 106, Wilmington, NC 28401-4063 | 2019-11-18 |
| 1780231878 | Fortitude Psychological Services, Inc. | Clinic/Center | 4900 Randall Pkwy Ste D, Wilmington, NC 28403-2831 | 2019-08-22 |
| 1982117669 | Sound Psychologial Services, Pa | Clinic/Center | 3317 Masonboro Loop Rd Unit 160, Wilmington, NC 28409-2970 | 2017-11-16 |
| 1962859496 | Your Center, LLC | Clinic/Center | 222 Philadelphia Pike Ste 4, Wilmington, DE 19809-3166 | 2016-05-13 |
| 1720408586 | Merakey Allos | Clinic/Center | 101 Rogers Rd, Wilmington, DE 19801-5778 | 2014-04-21 |
| 1598185670 | Merakey Allos | Clinic/Center | 5574 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2014-04-16 |
| 1275972333 | Merakey Allos | Clinic/Center | 5572 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2013-06-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1659676617 | Andrew W Donohue Do | Clinic/Center | 34 Harlech Dr, Wilmington, DE 19807-2508 | 2011-01-21 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19803 |
Please comment or provide details below to improve the information on SERENE MINDS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.