Melinda Henderson

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301007785 Issued in MI

Practice address

4134 Tanglewood CT
Bloomfield Hills, MI 48301-1218

Phone

(248) 980-3679

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1760498943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 TANGLEWOOD CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011218",
            "telephone_number": "248-538-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 TANGLEWOOD CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483011218",
            "telephone_number": "248-980-3679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Long Lake Rd Ste 213",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483042774",
            "country_code": "US",
            "telephone_number": "248-980-3679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0 F3 3024",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Heitchue, MPT
• Helfman and Associates, P.C.
• Aleena Hellebuyck, LLC
• Lisa Marie Helmick, D.O.
• Sonali Hemachandra, MD
• Kali Henry
• Kristen Ghersi Hering, PH.D.
• Rachael Helene Herkowitz, PSYD
• Diego Hernandez, M.D.
• Anne Kristine Herrick

• Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.