Provider Demographics
NPI:1548850803
Name:SERENE PSYCHOLOGICAL SERVICES LLC
Entity type:Organization
Organization Name:SERENE PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RINKU
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANKER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:908-679-9966
Mailing Address - Street 1:39 ROTARY DR
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3116
Mailing Address - Country:US
Mailing Address - Phone:906-679-9966
Mailing Address - Fax:
Practice Address - Street 1:500 MORRIS AVE STE 313
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1020
Practice Address - Country:US
Practice Address - Phone:908-679-9966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty