Michael E. Henderson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MICHAEL E. HENDERSON

Practice address

8329 NW 28TH St
Bethany, OK 73008-4867

Phone

(580) 606-3809

NPI assigned

Oct 25, 2013

Last updated

Oct 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Eric Henderson

Title

BHRS

Phone

(580) 606-3809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1750719969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 NW 28TH ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084867",
            "telephone_number": "580-606-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 NW 28TH ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084867",
            "telephone_number": "580-606-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. HENDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "BHRS",
        "authorized_official_telephone_number": "580-606-3809"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy McHugh, MSW
• Tiffani Danae McKenzie, LPC
• Mediport Solutions LLC
• Sarah Mary Mende, MD, MPH
• Stephanie Christine Mestre, DPT
• Melanie Milbourn, DPT
• Kaitlyn Danae Miller, DPT
• Misty Milligan, M.S., CCC-SLP
• Jennifer Milsap, MOT
• Ryan Montgomery

• Community/Behavioral Health Agency in Bethany, OK
• Providers in Bethany, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.