Active NPI
Julie Decker Hendrick, ED.S.
- School Psychologist
- Memphis, TN
National Provider Identifier
1811387293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 000266612
- Practice address
- 650 New York St
Memphis, TN 38104-5536 - Phone
- (901) 728-5858
- Fax
- (901) 531-6310
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 000266612 | TN | Primary |
Addresses
Primary practice location
650 New York St
Memphis, TN 38104-5536
Mailing address
650 New York St
Memphis, TN 38104-5536
Phone (901) 728-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000266612 | TN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1811387293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NEW YORK ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045536",
"telephone_number": "901-728-5858",
"fax_number": "901-531-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NEW YORK ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045536",
"telephone_number": "901-728-5858",
"fax_number": "901-531-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICK",
"first_name": "JULIE",
"middle_name": "DECKER",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TN",
"license": "000266612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.