| Serene Minds, Llc | |
|
410 Foulk Rd Suite 102 Wilmington DE 19803-3820 | |
| (302) 478-6199 | |
| (302) 397-2395 |
| Full Name | Serene Minds, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 Foulk Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Sandeep Kumar Gupta (OWNER) |
| Authorized Official Contact | 3024786199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Minds, Llc 8 Pennock Dr Garnet Valley PA 19060-1400 Ph: (302) 312-9478 | Serene Minds, Llc 410 Foulk Rd Suite 102 Wilmington DE 19803-3820 Ph: (302) 478-6199 |
| NPI Number | 1164887683 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Medicare PECOS PAC ID | 0143519553 |
|---|---|
| Medicare Enrollment ID | O20160524001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164887683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | C-1 0007149 (Delaware) | Primary |
| Provider Name | Sandeep K Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972577005 PECOS PAC ID: 8224928874 Enrollment ID: I20040729000653 |
| Provider Name | Susan Epps |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285732693 PECOS PAC ID: 5193762649 Enrollment ID: I20050415000239 |
| Provider Name | Janet M Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043290638 PECOS PAC ID: 2668541830 Enrollment ID: I20080514000833 |
| Provider Name | Lawrence Yurow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134340672 PECOS PAC ID: 1850436726 Enrollment ID: I20100303000269 |
| Provider Name | Cynthia M Elko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588817969 PECOS PAC ID: 7911068622 Enrollment ID: I20101112000794 |
| Provider Name | Oya Alatur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477563393 PECOS PAC ID: 9436337110 Enrollment ID: I20110628000594 |
| Provider Name | Salila Shen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740613223 PECOS PAC ID: 3375777378 Enrollment ID: I20131007000346 |
| Provider Name | Julia Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215362421 PECOS PAC ID: 5496985707 Enrollment ID: I20140306001915 |
| Provider Name | Jasmin M Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346564952 PECOS PAC ID: 7517141302 Enrollment ID: I20150515000459 |
| Provider Name | Parth M Viroja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639416019 PECOS PAC ID: 1850681990 Enrollment ID: I20170117001899 |
| Provider Name | Rhoda Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417481961 PECOS PAC ID: 4284901471 Enrollment ID: I20170518000559 |
| Provider Name | Michal Tomaszewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326496514 PECOS PAC ID: 3072884717 Enrollment ID: I20170731000286 |
| Provider Name | Carol June Scanlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093809030 PECOS PAC ID: 2264496215 Enrollment ID: I20180409000296 |
| Provider Name | Fawn Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803492 PECOS PAC ID: 4981956992 Enrollment ID: I20181002002308 |
| Provider Name | Michelle Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013483627 PECOS PAC ID: 1153666714 Enrollment ID: I20181231000947 |
| Provider Name | Robert Francis Bahnsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154697316 PECOS PAC ID: 0941599302 Enrollment ID: I20190103001877 |
| Provider Name | Pippa L Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568747335 PECOS PAC ID: 9537594536 Enrollment ID: I20200122001051 |
| Provider Name | Erica Rosario O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275961294 PECOS PAC ID: 9234366998 Enrollment ID: I20221202000266 |
| Provider Name | Gobind Kang-chahal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265533392 PECOS PAC ID: 2668464199 Enrollment ID: I20230124003310 |
| Provider Name | John O Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174180624 PECOS PAC ID: 7517322969 Enrollment ID: I20230701000030 |
| Provider Name | Shari Wismer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386342384 PECOS PAC ID: 7517320302 Enrollment ID: I20230827000112 |
| Provider Name | Arnelda Monroe-butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053681809 PECOS PAC ID: 1254753320 Enrollment ID: I20230905000008 |
| Provider Name | Beth Book Donovan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366716938 PECOS PAC ID: 1456701226 Enrollment ID: I20231220002902 |
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