Active NPI
Marlene Henderson
- School Psychologist
- New Boston, OH
National Provider Identifier
1275939209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1454826
- Practice address
- 522 Glenwood Ave
New Boston, OH 45662-5505 - Phone
- (740) 354-0270
- NPI assigned
- Nov 19, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1454826 | OH | Primary |
Addresses
Primary practice location
522 Glenwood Ave
New Boston, OH 45662-5505
Mailing address
522 Glenwood Ave
New Boston, OH 45662-5505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1454826 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1275939209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 GLENWOOD AVE",
"city": "NEW BOSTON",
"state": "OH",
"postal_code": "456625505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 GLENWOOD AVE",
"city": "NEW BOSTON",
"state": "OH",
"postal_code": "456625505",
"telephone_number": "740-354-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "1454826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Boston, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.