Active NPI
Nathan Henninger, PH.D., ABPP
- Intellectual & Developmental Disabilities Psychologist
- Westerville, OH
National Provider Identifier
1104840990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 5765
- Practice address
- 187 W Schrock Rd
Westerville, OH 43081-2890 - Phone
- (614) 355-8315
- Fax
- (614) 355-8361
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 5765 | OH | Primary |
Addresses
Primary practice location
187 W Schrock Rd
Westerville, OH 43081-2890
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4700
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104840990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-4700",
"fax_number": "614-722-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 W SCHROCK RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812890",
"telephone_number": "614-355-8315",
"fax_number": "614-355-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNINGER",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "OH",
"license": "5765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.