John R. Henrich, PSYD, L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4223 Issued in MN

Practice address

516 Mission House Lane
New Brighton, MN 55112-2751

Phone

(651) 636-5120

Fax

(651) 636-5124

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• North Central Ministry Development Center, Inc.

  dba LeaderWise Counseling

  • Counseling Psychologist
  • New Brighton, MN
  • NPI 1164711735
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1407983133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MISSION HOUSE LANE",
            "address_2": "NORTH CENTRAL MINISTRY DEVELOPMENT CENTER",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122751",
            "telephone_number": "651-636-5120",
            "fax_number": "651-636-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MISSION HOUSE LANE",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122751",
            "telephone_number": "651-636-5120",
            "fax_number": "651-636-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICH",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSYD, L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health and Wellness Collaborative
• Lydia Musiimenta Heaney
• Miranda Hedlund
• Molly Heisenfelt, LICSW
• Polly Hendel, PA
• Katie Hermerding, MA
• Heron Health and Healing
• Ashley Heskett
• David H. Hess, O.D.
• Dwayne Hicks, LADC

• Psychologist in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.