Phillip J Henry

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5412 S Drexel Ave Apt 2
Chicago, IL 60615-4973

Phone

(773) 633-5773

NPI assigned

Sep 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chicago Psychoanalytic Institute

  • Psychologist
  • Chicago, IL
  • NPI 1306856950
  NPD (past)

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1891521068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 S DREXEL AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154973",
            "telephone_number": "773-633-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 S DREXEL AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154973",
            "telephone_number": "773-633-5773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 S Michigan Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033463",
            "country_code": "US",
            "telephone_number": "312-897-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "PHILLIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L. Henry, PH.D.
• Molly Elizabeth Henry, DPT
• Nia Henry, LPC
• Nina J. Henry, LCPC, CADC
• Phillip Harrison Henry, MD
• Selena Henry, LCSW
• Suzette Henry, MHS CCC-SLP
• Tawanna Henry
• Tondalaya Audrea Henry
• Torian Henry, DPT

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.