Individual provider Active NPI

Thomas Basil Henry, M.D.

  • Child & Adolescent Psychiatry Physician
  • Norfolk, VA
National Provider Identifier
1578503025
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101272896 Issued in VA
Practice address
850 Southampton Ave
Norfolk, VA 23510-1021
Phone
(757) 668-4673
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 019938 MI
Psychiatry Physician 2084P0800X 019938 MI
Child & Adolescent Psychiatry Physician 2084P0804X 0101272896 VA Primary

Addresses

Primary practice location

850 Southampton Ave
Norfolk, VA 23510-1021

Mailing address

850 Southampton Ave
Norfolk, VA 23510-1021
Phone (757) 668-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061108000398 MI Practitioner - Psychiatry 9335146158 Reassigns benefits to 3 organizations
I20210924002090 VA Practitioner - Psychiatry 9335146158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
019938MIMDChild & Adolescent Psychiatry Physician
0101272896VAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource Saginaw Inc CurrentSince Jul 29, 2016 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Childrens Specialty Group PLLC CurrentSince Oct 1, 2021 Accepting new patients
Saginaw County Community Mental Health Authority CurrentSince Sep 7, 2016 Accepting new patients
Saginaw Cooperative Hospitals, Inc Psychiatry CurrentSince Jun 1, 2016 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Jun 1, 2016 Accepting new patients
County of Macomb Past Accepting new patients
Thomas B. Henry, MD PLC Child & Adolescent Psychiatry PastSince Jun 14, 2020 Accepting new patients
Carol a. Roekle, M.D., P.C. Past Accepting new patients
Comprehensive Psychiatric Services, P.C. Psychiatry PastSince Dec 6, 2020 Accepting new patients
Joak American Homes, Inc. PastSince Sep 8, 2009 Accepting new patients
Counseling Associates Inc Past Accepting new patients
Henry Ford Health Eastwood Behavioral Health Past Accepting new patients

Locations

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

500 Hancock St
Saginaw, MI 48602
Phone (989) 797-3400

3340 Hospital Rd
Saginaw, MI 48603
Phone (989) 790-7700

680 Oyster Point Rd
Newport News, VA 23606
Phone (757) 668-4673

850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

1181 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 425-1600

2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-6550

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/saginaw-e4d72067

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1578503025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SOUTHAMPTON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101021",
            "telephone_number": "757-668-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SOUTHAMPTON AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101021",
            "telephone_number": "757-668-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "THOMAS",
        "middle_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "019938",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "019938",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101272896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.