Alvin A Dolan Henderson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32557 Issued in TX

Practice address

11675 Jollyville Rd
Suite 111
Austin, TX 78759-3939

Phone

(512) 219-8828

Fax

(512) 219-8838

NPI assigned

Jul 5, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Rolling Hills Behavioral Health Services

  • Clinical Psychologist
  • Austin, TX
  • NPI 1811921091
  Medicare reassignment
• Austin Counseling & Evaluation, LLP

  • Psychologist
  • Austin, TX
  • NPI 1922386499
  NPD (past)
• Debbie Mabray PLLC

  • Mental Health Counselor
  • Killeen, TX
  • NPI 1770694820
  NPD (past)
• Geriatric Evaluation & Mental

  • Clinical Psychologist
  • Austin, TX
  • NPI 1225208200
  NPD (past)
• PM Management - Cedar Park NC LLC

  • Skilled Nursing Facility
  • Cedar Park, TX
  • NPI 1548527963
  NPD (past)
• Senior Connections of Texas, PLLC

  • Clinical Psychologist
  • Austin, TX
  • NPI 1831368703
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1710918271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD",
            "address_2": "SUITE 111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593939",
            "telephone_number": "512-219-8828",
            "fax_number": "512-219-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11675 JOLLYVILLE RD",
            "address_2": "SUITE 111",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593939",
            "telephone_number": "512-219-8828",
            "fax_number": "512-219-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN HENDERSON",
        "first_name": "ALVIN",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8D6316",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169870605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabina Doherty
• Ryan Dohlman, MSPT
• Petra Dohnalova
• Megan Leigh Doiron, DNP, APRN, NNP-BC
• Doko Medical Inc.
• April Musgrove Dolan, AU.D., F-AAA, CCC-A
• Diana C. Dolan, PH.D.
• Moira Terese Dolan, MD
• Robert T Dolan, M.D.
• Connie Leu Doland, MAHS, L.P.C.

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.