Individual provider Active NPI

Nadine Ann-Marie Henry, PSY.D

  • Psychologist
  • Orlando, FL
National Provider Identifier
1730464298
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5401 S Kirkman Rd Ste 310
Orlando, FL 32819-7937
Phone
(407) 337-3160
Fax
(844) 927-4534
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SS1075 FL
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X SS1075 FL
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5401 S Kirkman Rd Ste 310
Orlando, FL 32819-7937

Mailing address

449 W Silver Star Rd Unit 669
Ocoee, FL 34761-8027
Phone (407) 446-2223

Other names 1

  • Dr. Nadine Ann-Marie Henry Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808002961 FL Practitioner - Psychologist Billing Independently 2264947647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5401 S Kirkman Rd
Suite 310
Orlando, FL 32819-7937
Phone (407) 446-2223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nadine Henry LLC School CurrentSince May 22, 2025 Accepting new patients

Locations

449 W Silver Star Rd
Unit 669
Ocoee, FL 34761

5401 S Kirkman Rd
Ste 310
Orlando, FL 32819
Phone (305) 895-0504

3001 Aloma Ave
Ste 233
Winter Park, FL 32792
Phone (407) 337-3160

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1730464298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 W SILVER STAR RD UNIT 669",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347618027",
            "telephone_number": "407-446-2223",
            "fax_number": "844-927-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197937",
            "telephone_number": "407-337-3160",
            "fax_number": "844-927-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "NADINE",
        "middle_name": "ANN-MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "SS1075",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1075",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADINE",
            "last_name": "HENRY",
            "middle_name": "ANN-MARIE",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.