Organization Active NPI

Renata Sasson Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1710842976
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RENATA SASSON WELLNESS LLC
Practice address
340 Broadway Ste 2
Providence, RI 02909-1181
Phone
(401) 484-0996
Fax
(401) 648-4600
NPI assigned
Dec 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Renata SassonNPI 1538595525
Title
Owner
Phone
(401) 484-0996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

340 Broadway Ste 2
Providence, RI 02909-1181

Mailing address

340 Broadway Ste 2
Providence, RI 02909-1181
Phone (401) 484-0996

National Provider Directory

National Provider Directory

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": "1766102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1710842976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROADWAY STE 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091181",
            "telephone_number": "401-484-0996",
            "fax_number": "401-648-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROADWAY STE 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091181",
            "telephone_number": "401-484-0996",
            "fax_number": "401-648-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATA SASSON WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "SASSON",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-484-0996"
    },
    "taxonomies": [
        {
            "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 Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.