Dana Hughes Henderson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY001261 Issued in GA

Practice address

2952 Vinings Forest Way SE
Atlanta, GA 30339-4222

Phone

(404) 247-9274

Fax

(770) 434-8830

NPI assigned

Dec 18, 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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Dana Henderson, PH.D., P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1063748283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386707594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 VININGS FOREST WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394222",
            "telephone_number": "404-247-9274",
            "fax_number": "770-434-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 VININGS FOREST WAY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394222",
            "telephone_number": "404-247-9274",
            "fax_number": "770-434-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DANA",
        "middle_name": "HUGHES",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01000583",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00477837A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Henderson
• Aphrodite Henderson
• Candace Deanna Henderson, RN
• Carolyn Jordan Henderson, MD
• Charles Haddon Henderson
• Darlene Jane Henderson
• David Henderson
• Deasia Diaz Henderson, PA-C
• Delmer Lee Henderson, PAC
• Demetria Antoinete Henderson, CNA

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.