Brent N Henderson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS015211 Issued in PA

Practice address

5115 Centre Ave
Suite 140
Pittsburgh, PA 15232-1301

Phone

(412) 623-5888

Fax

(412) 623-5980

NPI assigned

Jan 27, 2006

Last updated

Jul 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Spiegel Freedman Psychological Associates

  • Psychologist
  • Pittsburgh, PA
  • NPI 1982627394
  Medicare reassignment NPD
• University of Pittsburgh Cancer Institute Cancer Services

  dba UPMC Cancer Centers

  • Radiation Oncology Physician
  • Pittsburgh, PA
  • NPI 1427025840

  Psychologist

  NPD (past)
• University of Pittsburgh Cancer Institute Cancer Services

  • Mobile Radiology Clinic/Center
  • Natrona Heights, PA
  • NPI 1912961350
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1578534756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7706",
            "fax_number": "412-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CENTRE AVE",
            "address_2": "SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321301",
            "telephone_number": "412-623-5888",
            "fax_number": "412-623-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BRENT",
        "middle_name": "N",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001905341",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520447",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11440288",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn E Hemphill
• Carolyn Elizabeth Hemphill, PA
• Bassem Soliman Mohamed Hendawy, M.D.
• Alexa Henderson, MD
• Ariyonia London Henderson
• Charon Henderson
• Craig Bowers Henderson, DMD
• Emily Henderson, MS, SLP-CCC
• Erin N Henderson, PHD
• Kate Elizabeth Henderson

• Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.