NPIMap

Organization Active NPI

Denise C Henneberry PSYD

  • Psychologist
  • North Andover, MA
National Provider Identifier
1053609206
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8868 Issued in MA
Legal business name
DENISE C HENNEBERRY PSYD
Practice address
451 Andover St
Suite 301
North Andover, MA 01845-5044
Phone
(617) 388-7182
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Denise C Henneberry, PSY.D.NPI 1902013774
Title
Psychologist
Phone
(617) 388-7182

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 8868 MA Primary

Addresses

Primary practice location

451 Andover St
Suite 301
North Andover, MA 01845-5044

Mailing address

33 Hanscom Ave
Reading, MA 01867-2106
Phone (617) 388-7182

National Provider Directory

National Provider Directory

Locations

451 Andover St
Ste 301
North Andover, MA 01845
Phone (617) 388-7182

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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1053609206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HANSCOM AVE",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672106",
            "telephone_number": "617-388-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE 301",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "617-388-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE C HENNEBERRY PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "HENNEBERRY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "617-388-7182",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.