Organization Active NPI

Shujaa Healthcare Services LLC

  • Intellectual & Developmental Disabilities Psychologist
  • Newark, DE
National Provider Identifier
1336815679
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.