Active NPI
Henke Psychiatric Services, PLLC
- Psychiatry Physician
- Mandan, ND
National Provider Identifier
1073910741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9938 ND
- Legal business name
- HENKE PSYCHIATRIC SERVICES, PLLC
- Practice address
- 2372 Harmon LN N
Mandan, ND 58554-8271 - Phone
- (701) 214-7442
- Fax
- (701) 751-5705
- NPI assigned
- Nov 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa J Henke, M.D.
- Title
- President
- Phone
- (701) 214-7442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9938 ND | ND | Primary |
Addresses
Primary practice location
2372 Harmon LN N
Mandan, ND 58554-8271
Mailing address
PO Box 661
Mandan, ND 58554-0661
Phone (701) 214-7442
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416787200000",
"number": "1073910741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 661",
"city": "MANDAN",
"state": "ND",
"postal_code": "585540661",
"telephone_number": "701-214-7442",
"fax_number": "701-751-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2372 HARMON LN N",
"city": "MANDAN",
"state": "ND",
"postal_code": "585548271",
"telephone_number": "701-214-7442",
"fax_number": "701-751-5705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENKE PSYCHIATRIC SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-24",
"last_updated": "2014-11-24",
"status": "A",
"authorized_official_last_name": "HENKE",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-214-7442",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "9938 ND",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.