DR. TASIA HENDERSON (DNP) – Psychiatry Physician, NPI 1083096432
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TASIA HENDERSON (DNP)
120 Lavan St Ste 1
Warwick, RI 028881025
Phone: (401) 808-6421
Fax: (401) 259-3028
Type: Location
600 Mamaroneck Ave Ste 400
Harrison, NY 105281613
Phone: (914) 370-8377
Type: Location
100 Pearl St
Hartford, CT 061034506
Phone: (323) 205-7088
Type: Location
940 RESERVOIR AVE
CRANSTON, RI 029104418
Phone: (401) 808-6421
Type: Mailing
311 N Midland Ave
Nyack, NY 109601627
Phone: (201) 790-3938
Type: Location
180 S BROADWAY STE 207
WHITE PLAINS, NY 106051845
Phone: (914) 200-4368
Fax: (914) 226-3251
Type: Mailing
580 WHITE PLAINS RD
TARRYTOWN, NY 105915198
Phone: (914) 345-5900
Type: Mailing
120 LAVAN ST STE 1
WARWICK, RI 028881025
Phone: (401) 808-6421
Fax: (401) 259-3028
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Neuronetics, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neuronetics, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160525001781 | I | Nurse Practitioner | RI | TBD |
| I20180820003368 | I | Nurse Practitioner | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02888)
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