Senior Whole Health, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

SENIOR WHOLE HEALTH, LLC

Practice address

58 Charles St
Suite 2
Cambridge, MA 02141-2128

Phone

(617) 494-5353

Fax

(617) 551-4194

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Michael Wyman

Title

Chief Operating Officer

Phone

(617) 252-6340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1932440948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CHARLES ST",
            "address_2": "SUITE 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021412128",
            "telephone_number": "617-494-5353",
            "fax_number": "617-551-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CHARLES ST",
            "address_2": "SUITE 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021412128",
            "telephone_number": "617-494-5353",
            "fax_number": "617-551-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR WHOLE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-252-6340"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gunjan Malik Senapati, M.D.
• Jessica Senee
• Jessica L Senesi, NP
• On Seng, NP-C
• Senior Care Therapy of Massachusetts LLC
• Veri Seo, MD, MSC
• Jonathan Antonio Sepulveda, LMHC
• Joseph Sequeira, MD
• Hezha Seradji Aghdam, MD
• John Joseph Servinskas, PSY.D.

• Health Maintenance Organization in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Health Maintenance Organization in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.