David Henry, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DAVID HENRY, PH.D.

Practice address

207 Storrs Rd
P.O. 740
Mansfield Center, CT 06250-1638

Phone

(860) 428-4103

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Carl Henry, PH.D.

Title

Self Employer

Phone

(860) 423-1352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1821379678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ADELINE PL",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501656",
            "telephone_number": "860-423-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STORRS RD",
            "address_2": "P.O. 740",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501638",
            "telephone_number": "860-428-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HENRY, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "SELF EMPLOYER",
        "authorized_official_telephone_number": "860-423-1352",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiana Aretusa Da Silva, LCSW
• Karen Ann Daly, M.D.
• Danielle N. Christian, LCSW, LLC
• Kristy Victoria Davenport, REGISTERED NURSE
• Olivia Davenport
• Susan Davis, DMD
• Khara Lee Dean, RN
• Francis Anthony Degennaro III, PHYSICAL THERAPIST
• Irene J. Demers, LCSW
• Kristin Amanda Dilaj, AUD/PHD, CCC-A

• Clinical Psychologist in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.