SERENITY PSYCHOLOGICAL SERVICES PLLC (NPI# 1922511286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922511286 |
| Entity Type | Organization |
| Organization Name | SERENITY PSYCHOLOGICAL SERVICES PLLC |
| Other Organization Name | CRESSY WANG PHD |
| Practice Address |
4221 Medical Pkwy Ste 400 Carrollton TX 75010-4548 |
| Mailing Address |
3008 Mill Ridge Dr Plano TX 75025-3970 |
| Practice Telephone | 4694164882 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-03-04 |
| Authorized Official Name | CHONG WANG (OWNER) |
| Authorized Official Telephone | 4694164882 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35153 | TX | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Cressy Wang PhD | Other Name - Individual/Organization |
| Street Address |
4221 MEDICAL PKWY STE 400 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578086120 | Samuel Reyna | Psychologist | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2017-07-25 |
| 1548755937 | Ashley Whitney Smith | Counselor | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2018-06-27 |
| 1780188763 | Michelle Phelan | Counselor | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2018-03-22 |
| 1407360860 | Starbrook Therapy Center, Inc. | Psychologist | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2017-11-21 |
| 1225540313 | Chong Wang | Psychologist | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578086120 | Samuel Reyna | Psychologist | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2017-07-25 |
| 1518397637 | Bariatric Evaluations | Psychologist | 1713 Station Pl, Carrollton, TX 75007-5014 | 2013-11-27 |
| 1356699847 | Katie Jeanne Cantero | Psychologist | 2441 Medical Parkway, Suite 400, Carrollton, TX 75010 | 2012-08-15 |
| 1790090025 | Dallas Sigma Counseling Services, Inc. | Psychologist | 1902 Country Club Dr Ste 120, Carrollton, TX 75006-5824 | 2010-08-11 |
| 1861725921 | Jon M Shepard | Psychologist | 4020 Huffines, Suite 120, Carrollton, TX 75010-6524 | 2009-09-08 |
| 1356527121 | Robin Sherck-o'connor | Psychologist | 1024 Hunters Creek Dr, Carrollton, TX 75007-1110 | 2008-01-11 |
| 1922144641 | Ronee Smith Griffith | Psychologist | 302 Courtyard Sq, Carrollton, GA 30117-3249 | 2007-01-29 |
| 1992889554 | Annette Helmcamp | Psychologist | 2625 N Josey Ln Ste 250, Carrollton, TX 75007-5538 | 2006-10-24 |
| 1376503219 | Norlydia F. Mcbee | Psychologist | 200 Glen Eagles Court, Suite 9b, Carrollton, GA 30117-4267 | 2006-03-24 |
| 1407360860 | Starbrook Therapy Center, Inc. | Psychologist | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2017-11-21 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on SERENITY PSYCHOLOGICAL SERVICES PLLC.
| 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.