Organization Active NPI

Semaj Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1366906943
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SEMAJ HEALTH AND WELLNESS LLC
Practice address
120 Lavan St Ste 1
Warwick, RI 02888-1025
Phone
(401) 808-6421
Fax
(401) 259-3028
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Dr. Tasia Henderson, DNP
Title
Owner
Phone
(401) 808-6421

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

120 Lavan St Ste 1
Warwick, RI 02888-1025

Mailing address

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

National Provider Directory

National Provider Directory

Locations

960 Reservoir Ave
Ste 24
Cranston, RI 02910
Phone (401) 808-6421

940 Reservoir Ave
Cranston, RI 02910
Phone (401) 808-6421

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1366906943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAVAN ST STE 1",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881025",
            "telephone_number": "401-808-6421",
            "fax_number": "401-259-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAVAN ST STE 1",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881025",
            "telephone_number": "401-808-6421",
            "fax_number": "401-259-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMAJ HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2021-09-09",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TASIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-808-6421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.