Organization Active NPI

JD Henneberry MD LLC

  • Adult Mental Health Clinic/Center
  • Brookline, MA
National Provider Identifier
1760343271
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JD HENNEBERRY MD LLC
Practice address
747 Washington St
Brookline, MA 02446-2140
Phone
(617) 395-1591
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
James Henneberry, MDNPI 1922595933
Title
Owner/Psychiatrist
Phone
(405) 269-1752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

747 Washington St
Brookline, MA 02446-2140

Mailing address

747 Washington St
Brookline, MA 02446-2140
Phone (405) 269-1752

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260130001077 MA Part B Supplier - Clinic/Group Practice 0840778965 Receives reassigned benefits from 1 practitioner
Practice locations: Brookline, MA

National Provider Directory

National Provider Directory

Locations

1842 Beacon St
Ste 202
Brookline, MA 02445
Phone (610) 742-1741

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1760343271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 WASHINGTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462140",
            "telephone_number": "405-269-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 WASHINGTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462140",
            "telephone_number": "617-395-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD HENNEBERRY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "HENNEBERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "405-269-1752",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.