Safe Haven Health LLC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

SAFE HAVEN HEALTH LLC

Practice address

103 Continental PL Ste 120
Brentwood, TN 37027-1086

Phone

(404) 435-9441

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Shawn Konata Green, DNPNPI 1356896377

Title

Co Owner

Phone

(404) 435-9441

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Shawn Green, ACNS-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smyrna, GA
  • NPI 1356896377

  Multi-Specialty, TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1629645288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 CONCORD MILL LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118632",
            "telephone_number": "404-435-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CONTINENTAL PL STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271086",
            "telephone_number": "404-435-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "KONATA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "404-435-9441",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailie Saathoff
• Jenna Saden
• Katherine Sadler
• Laura H Sadler, RPH
• Terry Sue Sadler, ARNP
• Mustapha Said
• Niharika Saini, DO
• Kaori Saito, M.D.
• Donna Marie Saladino
• Jessica Yvonne Salaksana, APRN

• All providers in Brentwood, TN
• Psychiatric/Mental Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.