Drlmhendersonllc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PY8343 Issued in FL

Legal business name

DRLMHENDERSONLLC

Practice address

28870 US Highway 19 N Ste 300
Clearwater, FL 33761-4328

Phone

(727) 422-5368

Fax

(727) 724-4482

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lynn M. Henderson, PSY.D

Title

Clinical Psychologist

Phone

(727) 422-5368

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367020800000",
    "number": "1760728240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BAYWOOD DR S",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982012",
            "telephone_number": "727-422-5368",
            "fax_number": "727-724-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28870 US HIGHWAY 19 N STE 300",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614328",
            "telephone_number": "727-422-5368",
            "fax_number": "727-724-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRLMHENDERSONLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-04-27",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "727-422-5368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PY8343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FN118A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.