Dana Henderson, PH.D., P.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

PSY001261 Issued in GA

Legal business name

DANA HENDERSON, PH.D., P.C.

Practice address

2952 Vinings Forest Way SE
Atlanta, GA 30339-4222

Phone

(404) 247-9274

Fax

(770) 434-8830

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dana Hughes Henderson, PH.D.NPI 1386707594

Title

President

Phone

(404) 247-9274

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Hughes Henderson, PH.D.

  • Psychologist
  • Atlanta, GA
  • NPI 1386707594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1063748283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 VININGS FOREST WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394222",
            "telephone_number": "404-247-9274",
            "fax_number": "770-434-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 VININGS FOREST WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394222",
            "telephone_number": "404-247-9274",
            "fax_number": "770-434-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA HENDERSON, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-247-9274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "PSY001261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000477837A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlton Dampier, MD
• Mary F Dampier, MD
• Barbara A Dampog, M.D
• Damt, Inc
• Branden Joshua Damus
• Patrick Joseph Danaher, M.D
• Danamarie Deriggi
• Offer Danan, D.C.
• Shiva Danda, MD
• Annette Ann Marie Dandy, FNP

• Adolescent and Children Mental Health Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.