Individual provider Active NPI

Tasia Henderson, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1083096432
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN02587 Issued in RI
Practice address
180 S Broadway Ste 207
White Plains, NY 10605-1845
Phone
(914) 200-4368
Fax
(914) 226-3251
NPI assigned
Jun 22, 2015
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15137100 NJ
Family Nurse Practitioner 363LF0000X APRN00690 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403452 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10006274 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13119 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN02587 RI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP211152 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2276358 MA

Addresses

Primary practice location

180 S Broadway Ste 207
White Plains, NY 10605-1845

Mailing address

180 S Broadway Ste 207
White Plains, NY 10605-1845
Phone (914) 200-4368

Other practice location 1

2389 Main St
Glastonbury, CT 06033-4617
Phone (914) 200-4368

Other practice location 2

8 Lyman St Ste 200
Westborough, MA 01581-1487
Phone (914) 200-4368

Other practice location 3

380 Elm St Ste 2
North Attleboro, MA 02760-3314
Phone (914) 200-4368

Other practice location 4

1110 SE Alder St
Portland, OR 97214-2400
Phone (914) 200-4368

Other practice location 5

120 Lavan St Ste 1
Warwick, RI 02888-1025
Phone (401) 808-6421

Other practice location 6

100 Pearl St
Hartford, CT 06103-4506
Phone (323) 205-7088

Other practice location 7

311 N Midland Ave
Nyack, NY 10960-1627
Phone (201) 790-3938

Other practice location 8

40 Lafayette St Ste 2
Yarmouth, ME 04096-6794
Phone (914) 200-4368

Other practice location 9

317 George St Ste 320
New Brunswick, NJ 08901-2091
Phone (914) 200-4368

Other practice location 10

600 Mamaroneck Ave Ste 400
Harrison, NY 10528-1613
Phone (914) 370-8377

Other practice location 11

1191 Post Rd Ste 6
Warwick, RI 02888-3200
Phone (914) 200-4368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160525001781 RI Practitioner - Nurse Practitioner 6204125677
I20180820003368 NY Practitioner - Nurse Practitioner 6204125677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13119CTMDPsychiatric/Mental Health Nurse Practitioner
RN2276358MAMDPsychiatric/Mental Health Nurse Practitioner
26NJ15137100NJMDPsychiatric/Mental Health Nurse Practitioner
403452NYMDPsychiatric/Mental Health Nurse Practitioner
APRN02587RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Alternatives Psychiatric/Mental Health Current Accepting new patients
St James Concierge Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jan 1, 2022 Accepting new patients
Therapeutic Alternatives and Medical Cannabis Center LLC Family Current Accepting new patients
Jewish Board of Family and Children's Services, Inc. Psychiatric/Mental Health CurrentSince Jan 1, 2022 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients

Locations

750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

180 S Broadway
Ste 207
White Plains, NY 10605
Phone (914) 200-4368

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1083096432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S BROADWAY STE 207",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051845",
            "telephone_number": "914-200-4368",
            "fax_number": "914-226-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S BROADWAY STE 207",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051845",
            "telephone_number": "914-200-4368",
            "fax_number": "914-226-3251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2389 Main St",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060334617",
            "country_code": "US",
            "telephone_number": "914-200-4368",
            "fax_number": "914-226-3251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Lyman St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811487",
            "country_code": "US",
            "telephone_number": "914-200-4368",
            "fax_number": "914-226-3251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Elm St Ste 2",
            "address_purpose": "LOCATION",
            "city": "North Attleboro",
            "state": "MA",
            "postal_code": "027603314",
            "country_code": "US",
            "telephone_number": "914-200-4368",
            "fax_number": "914-226-3251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 SE Alder St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972142400",
            "country_code": "US",
            "telephone_number": "914-200-4368",
            "fax_number": "914-226-3251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Lavan St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028881025",
            "country_code": "US",
            "telephone_number": "401-808-6421",
            "fax_number": "401-259-3028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061034506",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 N Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601627",
            "country_code": "US",
            "telephone_number": "201-790-3938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Lafayette St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Yarmouth",
            "state": "ME",
            "postal_code": "040966794",
            "country_code": "US",
            "telephone_number": "914-200-4368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 George St Ste 320",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089012091",
            "country_code": "US",
            "telephone_number": "914-200-4368",
            "fax_number": "914-226-3251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Mamaroneck Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "NY",
            "postal_code": "105281613",
            "country_code": "US",
            "telephone_number": "914-370-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1191 Post Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028883200",
            "country_code": "US",
            "telephone_number": "914-200-4368",
            "fax_number": "914-226-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TASIA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15137100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00690",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403452",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10006274",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13119",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02587",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP211152",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2276358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.