Daniel J Henderson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0003688 Issued in FL

Practice address

1515 E Silver Springs Blvd
Suite 112
Ocala, FL 34470-6831

Phone

(352) 732-3333

Fax

(352) 732-2469

NPI assigned

Aug 3, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aet of Central Florida of Schaeffer and Henderson, P.a.Group PAC ID 9032379466, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Networks

• Freedom Health HMO Network

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.

• Aet of Central Florida of Schaeffer & Henderson, P.a.

  • Clinical Psychologist
  • Ocala, FL
  • NPI 1366454308
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720096340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2854",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344782854",
            "telephone_number": "352-732-3333",
            "fax_number": "352-732-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E SILVER SPRINGS BLVD",
            "address_2": "SUITE 112",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706831",
            "telephone_number": "352-732-3333",
            "fax_number": "352-732-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "75919",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Home Care, Inc.
• Helping Hands of North Florida
• Kerry Hemingway
• Leslie Grace Hemp
• Claudia Celeste Henderson
• Derrick Anthony Henderson, LMT BOARD CERTIFIED
• Erin Henderson
• Macy Henderson
• Martha Jean Henderson, APRN
• Adon Hendricks

• Clinical Psychologist in Ocala, FL
• Providers in Ocala, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.