Active NPI
Shujaa Healthcare Services LLC
- Intellectual & Developmental Disabilities Psychologist
- Newark, DE
National Provider Identifier
1336815679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- Legal business name
- SHUJAA HEALTHCARE SERVICES LLC
- Practice address
- 260 Chapman Rd Ste 201a
Newark, DE 19702-5491 - Phone
- (302) 229-2168
- NPI assigned
- Aug 17, 2021
- Last updated
- Aug 17, 2021
- 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
- Dr. Damaris K. Mose, DNP
- Title
- Ceo
- Phone
- (302) 229-2168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Primary |
Addresses
Primary practice location
260 Chapman Rd Ste 201a
Newark, DE 19702-5491
Mailing address
260 Chapman Rd Ste 201a
Newark, DE 19702-5491
Phone (302) 229-2168
National Provider Directory
National Provider DirectoryLocations
260 Chapman Rd
Ste 201A
Newark, DE 19702
Phone (302) 229-2168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629158400000",
"number": "1336815679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 CHAPMAN RD STE 201A",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025491",
"telephone_number": "302-229-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 CHAPMAN RD STE 201A",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025491",
"telephone_number": "302-229-2168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHUJAA HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A",
"authorized_official_last_name": "MOSE",
"authorized_official_first_name": "DAMARIS",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "302-229-2168",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.