Active NPI
Audrey Whilma Henry, MD
- Psychiatry Physician
- Trenton, NJ
National Provider Identifier
1073684031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD435312
- Practice address
- 1 Capital Way
Psychiatry Dept
Trenton, NJ 08638 - Phone
- (609) 394-6085
- Fax
- (609) 394-6250
- NPI assigned
- Nov 13, 2006
- Last updated
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA08608300 | NJ | |
| Psychiatry Physician | 2084P0800X | G60230 | CA | |
| Psychiatry Physician | 2084P0800X | MD435312 | PA | Primary |
Addresses
Primary practice location
1 Capital Way
Psychiatry Dept
Trenton, NJ 08638
Mailing address
1 Capital Way
Psychiatry Department
Trenton, NJ 08638
Phone (609) 394-6085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G602300 | Medicaid | CA | |
| 0211362 | Medicaid | NJ |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Camden County Health Services Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital
- Blackwood, NJ
- NPI 1578559340
-
- Rehabilitation Hospital Unit
- Philadelphia, PA
- NPI 1033129606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1073684031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"address_2": "PSYCHIATRY DEPARTMENT",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08638",
"telephone_number": "609-394-6085",
"fax_number": "609-394-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"address_2": "PSYCHIATRY DEPT",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08638",
"telephone_number": "609-394-6085",
"fax_number": "609-394-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "AUDREY",
"middle_name": "WHILMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA08608300",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G60230",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD435312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G602300",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0211362",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, NJ
- Henry J. Austin Health Center at Family Guidance Center Corporation
- Henry J. Austin Health Center, Inc. (Henry J. Austin Pharmacy)
- Henry J. Austin Health Center, Inc. (Henry J. Austin Health Center at Oaks Integrated Care)
- Henry J. Austin Health Center, Inc. (Henry J. Austin Pharmacy Department at Ewing Street)
- Henry J.Austin Health Center at the Rescue Mission of Trenton
- Kavaughna Henry, LSW
- Cullan James Herald-Evans, M.DIV
- Herbert J Bell P a (Dr. Herbert J. Bell, P.A.)
- Hilary Herbold, LCSW
- Frances Mary Herman, APRN,BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.