Anne L Hendricks, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200301124 Issued in NC

Practice address

2121 Guess Rd
Durham, NC 27705-3338

Phone

(919) 251-8609

Fax

(888) 909-9793

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dreamworks II

  • Case Management Agency
  • Durham, NC
  • NPI 1124207550
  NPD (past)
• Youth Development Corporation of America

  • Community/Behavioral Health Agency
  • Henderson, NC
  • NPI 1629023569
  NPD (past)
• Norcen Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1689675324
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1316029762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 DOGWOOD RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055751",
            "telephone_number": "919-251-8609",
            "fax_number": "888-909-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 GUESS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053338",
            "telephone_number": "919-251-8609",
            "fax_number": "888-909-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "ANNE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200301124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89067MP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "14088",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Owen Henderson, MD
• Henderson'S House of Hope
• Kathlene Ede Hendon, RD, LDN, CNSC
• Bryce Kent Hendren-Santiago, MD
• Armond Hendrick
• Hope Alexandra Hendricks, M.D.
• Rachel McCoy Hendricks
• Jenna Lee Hendrickson
• Meghan Susanne Hendrickson
• Whitney Hendrickson

• Psychiatry Physician in Durham, NC
• Providers in Durham, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.