Active NPI
Thomas Bruce McHenry, PH.D.
- Counseling Psychologist
- West Lafayette Bra, IN
National Provider Identifier
1023024445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 19110052A
- Practice address
- 255 E Sunset LN
West Lafayette Bra, IN 47906-2456 - Phone
- (765) 404-6583
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 19110052A | IN | Primary |
Addresses
Primary practice location
255 E Sunset LN
West Lafayette Bra, IN 47906-2456
Mailing address
1011 Oakhurst Dr
West Lafayette Bra, IN 47906-2213
Phone (765) 463-6716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19110052A | IN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023024445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 OAKHURST DR",
"city": "WEST LAFAYETTE BRA",
"state": "IN",
"postal_code": "479062213",
"telephone_number": "765-463-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E SUNSET LN",
"city": "WEST LAFAYETTE BRA",
"state": "IN",
"postal_code": "479062456",
"telephone_number": "765-404-6583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHENRY",
"first_name": "THOMAS",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "19110052A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette Bra, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.