{"npi":"1750999546","type":"NPI-2","status":"active","name":{"display":"Serenity Behavioral Health & Wellness LLC","other":[],"organization_name":"SERENITY BEHAVIORAL HEALTH & WELLNESS LLC","authorised_official":"Jennifer Bertsch"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TF0000X","description":"Family Psychologist","primary":false,"state":null,"license":null},{"code":"103TA0400X","description":"Addiction (Substance Use Disorder) Psychologist","primary":false,"state":null,"license":null},{"code":"103TA0700X","description":"Adult Development & Aging Psychologist","primary":false,"state":null,"license":null},{"code":"103TB0200X","description":"Cognitive & Behavioral Psychologist","primary":false,"state":null,"license":null},{"code":"103TC1900X","description":"Counseling Psychologist","primary":false,"state":null,"license":null},{"code":"103TC2200X","description":"Clinical Child & Adolescent Psychologist","primary":false,"state":null,"license":null},{"code":"103TF0200X","description":"Forensic Psychologist","primary":false,"state":null,"license":null},{"code":"103TH0004X","description":"Health Psychologist","primary":false,"state":null,"license":null},{"code":"103TM1800X","description":"Intellectual & Developmental Disabilities Psychologist","primary":false,"state":null,"license":null},{"code":"103TP2701X","description":"Group Psychotherapy Psychologist","primary":false,"state":null,"license":null},{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6375 W 143RD ST","city":"SAVAGE","state":"MN","postal_code":"553782888","country_code":"US","phone":"9525922200","fax":"9525922201"},{"purpose":"MAILING","street_1":"6375 W 143RD ST","city":"SAVAGE","state":"MN","postal_code":"553782888","country_code":"US","phone":"9525922200","fax":"9525922201"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20201202000942","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MN","pac_id":"7810308517"}]},"enumeration_date":"2020-07-17","last_updated":"2024-11-13","_meta":{"source":"NPPES","snapshot_date":"2024-11-13","doc_url":"https://findmynpi.com/api"}}