Active NPI
St James Psychiatry & TMS
- Psychiatric/Mental Health Nurse Practitioner
- Uniondale, NY
National Provider Identifier
1053091801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ST JAMES PSYCHIATRY & TMS
- Practice address
- 405 RXR PLZ Ste 405
Uniondale, NY 11556-3811 - Phone
- (508) 233-8985
- NPI assigned
- Jul 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tasia Henderson
- Title
- Owner
- Phone
- (347) 776-2917
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
405 RXR PLZ Ste 405
Uniondale, NY 11556-3811
Mailing address
405 RXR PLZ Ste 405
Uniondale, NY 11556-3811
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1053091801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 RXR PLZ STE 405",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115563811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 RXR PLZ STE 405",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115563811",
"telephone_number": "508-233-8985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JAMES PSYCHIATRY & TMS",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-14",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "TASIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-776-2917"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.