Organization Active NPI

Michael E. Hendrickson, PH.D.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1649620972
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3581 Issued in FL
Legal business name
MICHAEL E. HENDRICKSON, PH.D.
Practice address
9150 SW 87TH Ave
Suite 109
Miami, FL 33176-2319
Phone
(786) 247-5575
NPI assigned
Jun 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Dr. Michael Hendrickson, PH.D.NPI 1144255829
Title
Psychologist
Phone
(786) 247-5575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY3581 FL Primary

Addresses

Primary practice location

9150 SW 87TH Ave
Suite 109
Miami, FL 33176-2319

Mailing address

8325 Schreiber Dr
Munster, IN 46321-1829
Phone (786) 247-5575

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1649620972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 SCHREIBER DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211829",
            "telephone_number": "786-247-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 SW 87TH AVE",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762319",
            "telephone_number": "786-247-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. HENDRICKSON, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "786-247-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.