| Serenity Health Llc | |
|
4905 Mexico Rd Ste 400 Saint Peters MO 63376-1601 | |
| (314) 590-3721 | |
| (314) 214-7380 |
| Full Name | Serenity Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4905 Mexico Rd Ste 400, Saint Peters, Missouri |
| Authorized Official Name and Position | Tariq F Malik (CFO) |
| Authorized Official Contact | 3148624840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Health Llc 4905 Mexico Rd Ste 400 Saint Peters MO 63376-1601 Ph: (314) 503-6330 | Serenity Health Llc 4905 Mexico Rd Ste 400 Saint Peters MO 63376-1601 Ph: (314) 590-3721 |
| NPI Number | 1104569151 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 11/19/2022 |
| Certification Date | 11/19/2022 |
| Medicare PECOS PAC ID | 3375920861 |
|---|---|
| Medicare Enrollment ID | O20220523002493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104569151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rolando A Larice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356324917 PECOS PAC ID: 3971581638 Enrollment ID: I20040709000303 |
| Provider Name | Meena Dhawan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811996689 PECOS PAC ID: 1658323571 Enrollment ID: I20050218000216 |
| Provider Name | Katrina Mary Zlataric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407918386 PECOS PAC ID: 3779524194 Enrollment ID: I20050517000006 |
| Provider Name | Neal Askuvich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871592626 PECOS PAC ID: 7719902311 Enrollment ID: I20051012001175 |
| Provider Name | Raafea F Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467450239 PECOS PAC ID: 5799695508 Enrollment ID: I20051024000036 |
| Provider Name | Sameer Yameen Arain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750305546 PECOS PAC ID: 0749284289 Enrollment ID: I20060914000173 |
| Provider Name | Agara Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588752364 PECOS PAC ID: 1759478480 Enrollment ID: I20071029000461 |
| Provider Name | Maheen M Malik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205834033 PECOS PAC ID: 9133208499 Enrollment ID: I20080512000456 |
| Provider Name | Adam J Sky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346388667 PECOS PAC ID: 7517989015 Enrollment ID: I20080708000450 |
| Provider Name | Narendir T Soorya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922021955 PECOS PAC ID: 6103978762 Enrollment ID: I20090714000197 |
| Provider Name | Syed A Raza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871592675 PECOS PAC ID: 8527143502 Enrollment ID: I20100301000034 |
| Provider Name | Mohinder Partap |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235137035 PECOS PAC ID: 2668501339 Enrollment ID: I20100519000376 |
| Provider Name | Shazia Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477552206 PECOS PAC ID: 4880504695 Enrollment ID: I20100917000336 |
| Provider Name | Mohd A Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942208715 PECOS PAC ID: 3971413782 Enrollment ID: I20100917000361 |
| Provider Name | M Safwat Wahba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821097692 PECOS PAC ID: 6305961889 Enrollment ID: I20100921000952 |
| Provider Name | Heather L Popham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093086985 PECOS PAC ID: 2163684408 Enrollment ID: I20120502000143 |
| Provider Name | Bonnie C Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083037477 PECOS PAC ID: 3072744580 Enrollment ID: I20140326002132 |
| Provider Name | Robert E Schnidman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730152471 PECOS PAC ID: 3072835123 Enrollment ID: I20141201001713 |
| Provider Name | Scott B Schaeffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649243387 PECOS PAC ID: 5395069876 Enrollment ID: I20150112001632 |
| Provider Name | Linda K Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720480056 PECOS PAC ID: 5193095800 Enrollment ID: I20170727002787 |
| Provider Name | Richard Yakimo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811417363 PECOS PAC ID: 4183997331 Enrollment ID: I20170908003258 |
| Provider Name | Bilquees Beig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649719600 PECOS PAC ID: 4082987128 Enrollment ID: I20170912000600 |
| Provider Name | Haley Koepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134618341 PECOS PAC ID: 3274898119 Enrollment ID: I20180524002742 |
| Provider Name | Syed Noman Zaidi |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1932549250 PECOS PAC ID: 8527360957 Enrollment ID: I20180609000152 |
| Provider Name | Amanda Maria Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194271163 PECOS PAC ID: 9830447515 Enrollment ID: I20180813002608 |
| Provider Name | Matthew Lindquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710969159 PECOS PAC ID: 0446288898 Enrollment ID: I20180907001092 |
| Provider Name | Rowdy J Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336612779 PECOS PAC ID: 0547508244 Enrollment ID: I20190205000200 |
| Provider Name | Kimberly Danielle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205393089 PECOS PAC ID: 8527392232 Enrollment ID: I20190701001007 |
| Provider Name | Martina Schutte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881978211 PECOS PAC ID: 8123450046 Enrollment ID: I20191114002890 |
| Provider Name | Faisal Matar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700423076 PECOS PAC ID: 7810324464 Enrollment ID: I20200221000202 |
| Provider Name | Assad Mukhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609259001 PECOS PAC ID: 7315240876 Enrollment ID: I20200331003001 |
| Provider Name | Saif-ur-rahman Paracha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508217936 PECOS PAC ID: 2860780418 Enrollment ID: I20201029001169 |
| Provider Name | Ashley Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518555283 PECOS PAC ID: 1850708256 Enrollment ID: I20210331002842 |
| Provider Name | Joanna Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760052310 PECOS PAC ID: 8022413350 Enrollment ID: I20210824002387 |
| Provider Name | Brandy M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871166843 PECOS PAC ID: 4688818313 Enrollment ID: I20211110000766 |
| Provider Name | Michelle F Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235894262 PECOS PAC ID: 2264825033 Enrollment ID: I20220201000261 |
| Provider Name | Elizabeth Ann Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134847304 PECOS PAC ID: 5799169066 Enrollment ID: I20220906001479 |
| Provider Name | Lauren Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871225391 PECOS PAC ID: 5890161012 Enrollment ID: I20221013000395 |
| Provider Name | Tracy M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114638566 PECOS PAC ID: 4880067800 Enrollment ID: I20230222001254 |
| Provider Name | Mia Daveta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932896586 PECOS PAC ID: 9133585607 Enrollment ID: I20230525002615 |
| Provider Name | Kathryn Emily Sitki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265130041 PECOS PAC ID: 9537526298 Enrollment ID: I20230612001514 |
| Provider Name | Kayla Marlene Gervich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538847058 PECOS PAC ID: 0446614317 Enrollment ID: I20230911002286 |
| Provider Name | Muhammad Ovais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376236224 PECOS PAC ID: 3274980032 Enrollment ID: I20231115003710 |
| Provider Name | Summer Lacole Morefield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043833593 PECOS PAC ID: 3577915354 Enrollment ID: I20240117002215 |
| Provider Name | William A Tayon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720416696 PECOS PAC ID: 9032562269 Enrollment ID: I20240124002298 |
| Provider Name | Ashley Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669228920 PECOS PAC ID: 6709227457 Enrollment ID: I20240511000411 |
Thin Line Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Siena Dr, Saint Peters, MO 63376 Phone: 314-297-0331 | |
Accelerate Bx Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 Schoal Creek Dr, Saint Peters, MO 63366 Phone: 770-866-3909 | |
Integrative Psychiatric Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Mid Rivers Mall Dr Ste 360, Saint Peters, MO 63376 Phone: 636-386-4792 | |
The Nest Holistics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Heritage Lndg, Saint Peters, MO 63303 Phone: 636-486-7626 | |
Life Way Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Mexico Rd, Saint Peters, MO 63376 Phone: 636-498-9326 | |
Terry Diane Miller Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Spencer Rd, Suite 201, Saint Peters, MO 63376 Phone: 636-939-2550 Fax: 636-939-2551 |