Active NPI
JD Henneberry MD LLC
- Adult Mental Health Clinic/Center
- Brookline, MA
National Provider Identifier
1760343271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Henneberry, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.