Individual provider Active NPI

Dennis George Henry

  • Psychiatry Physician
  • Syracuse, NY
National Provider Identifier
1427772482
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
404498 Issued in NY
Practice address
620 Madison St
Syracuse, NY 13210-2338
Phone
(315) 426-3600
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 404498 NY Primary

Addresses

Primary practice location

620 Madison St
Syracuse, NY 13210-2338

Mailing address

147 Richfield Ave
Syracuse, NY 13205-3116
Phone (716) 261-7407

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dennis.henry@OMH.NY.GOV Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531002147 NY Practitioner - Nurse Practitioner 0446624316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ontario CountyGroup PAC ID 3779482252, 10 clinicians

Practice addresses (Care Compare)

3019 County Complex Dr
Canandaigua, NY 14424-9505
Phone (585) 396-4552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ontario County Psychiatry Current Accepting new patients
Ontario County CurrentSince Mar 13, 2024 Accepting new patients

Locations

3019 County Complex Dr
Canandaigua, NY 14424
Phone (585) 396-4363

Interoperability endpoints

  • Direct secure messaging: dennis.henry@omh.ny.gov

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1427772482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 RICHFIELD AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053116",
            "telephone_number": "716-261-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MADISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102338",
            "telephone_number": "315-426-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DENNIS",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "404498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dennis.henry@OMH.NY.GOV",
            "affiliation": "N",
            "endpointDescription": "New York State worker protected email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "New York State maintained",
            "address_1": "620 Madison St",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132102338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.