Active NPI
James Russell Henrie, PHD.
- Psychologist
- Haleiwa, HI
National Provider Identifier
1740512664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 410
- Practice address
- 59-215 Ke Nui Rd Apt C
Haleiwa, HI 96712-9601 - Phone
- (808) 778-5084
- NPI assigned
- Feb 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 410 | HI | Primary |
Addresses
Primary practice location
59-215 Ke Nui Rd Apt C
Haleiwa, HI 96712-9601
Mailing address
59-215 Ke Nui Rd Apt C
Haleiwa, HI 96712-9601
Phone (808) 778-5084
Other names 1
- Dr. Russ Henrie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 410 | HI | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1740512664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59-215 KE NUI RD APT C",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967129601",
"telephone_number": "808-778-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59-215 KE NUI RD APT C",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967129601",
"telephone_number": "808-778-5084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIE",
"first_name": "JAMES",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RUSS",
"last_name": "HENRIE",
"prefix": "DR.",
"credential": "PHD.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Haleiwa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.