Charity Ann Plaxton Hennings, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

20627 Issued in CA

Practice address

1881 Business Center Dr
Suite 11
San Bernardino, CA 92408-3465

Phone

(909) 553-0547

Fax

(909) 384-0734

NPI assigned

Jun 20, 2008

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 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minder Neuropsychological Services Inc.

  dba Minder Memory Center

  • Psychologist
  • San Diego, CA
  • NPI 1316637200
  Medicare reassignment NPD

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1528229671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "BRYN MAWR",
            "state": "CA",
            "postal_code": "923180659",
            "telephone_number": "909-553-0547",
            "fax_number": "909-384-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 BUSINESS CENTER DR",
            "address_2": "SUITE 11",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083465",
            "telephone_number": "909-553-0547",
            "fax_number": "909-384-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAXTON HENNINGS",
        "first_name": "CHARITY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "20627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "20627",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy Pizarro
• Alisha Marie Placencia
• Planned Parenthood/Orange and San Bernardino Counties Inc. (Melody Health)
• Maribel Plascencia
• Monique Sheree Platt, LVN
• Sierra Marie Plaza
• Latoya Pleasant
• Pliev Management Services
• Paiboon Plookvongpanit, CCP
• Rosemary Poblacion, MPT

• Clinical Child & Adolescent Psychologist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.