Organization Active NPI

Henke Psychiatric Services, PLLC

  • Psychiatry Physician
  • Mandan, ND
National Provider Identifier
1073910741
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9938 ND Issued in 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

Updated by the provider on Nov 24, 2014

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.