Active NPI
Michael Lawrence Hendricks, PH.D.
- Forensic Psychologist
- Washington, DC
National Provider Identifier
1154482644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY1789
- Practice address
- 5225 Wisconsin Ave NW
Suite 513
Washington, DC 20015-2014 - Phone
- (202) 364-1575
- Fax
- (202) 364-0561
- NPI assigned
- Dec 12, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1789 | DC | |
| Clinical Psychologist | 103TC0700X | 0810002098 | VA | |
| Clinical Psychologist | 103TC0700X | 03197 | MD | |
| Forensic Psychologist | 103TF0200X | 0810002098 | VA | |
| Forensic Psychologist | 103TF0200X | PSY1789 | DC | Primary |
Addresses
Primary practice location
5225 Wisconsin Ave NW
Suite 513
Washington, DC 20015-2014
Mailing address
5225 Wisconsin Ave NW
Suite 513
Washington, DC 20015-2014
Phone (202) 364-1575
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1789 | DC | MD | Clinical Psychologist |
| 03197 | MD | MD | Clinical Psychologist |
| 0810002098 | VA | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T Med Behavioral Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Fairfax, VA
- NPI 1497719272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154482644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW",
"address_2": "SUITE 513",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152014",
"telephone_number": "202-364-1575",
"fax_number": "202-364-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 WISCONSIN AVE NW",
"address_2": "SUITE 513",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152014",
"telephone_number": "202-364-1575",
"fax_number": "202-364-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "MICHAEL",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1789",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002098",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03197",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "VA",
"license": "0810002098",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "DC",
"license": "PSY1789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.