James David Henneberry, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

39161 Issued in OK

Practice address

3024 Middlesex Dr
Oklahoma City, OK 73120-4347

Phone

(405) 269-1752

NPI assigned

Apr 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, OK, MA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.26 of 100Reported as group

Quality

53.73

Promoting interoperability

100

Improvement activities

40

Cost

70.48

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhenneberry59466@ouhealth.direct-ci.net

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.

• Ou Health Partners, Inc

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1528642642
  Medicare reassignment Care Compare group NPD
• JD Henneberry MD LLC

  • Adult Mental Health Clinic/Center
  • Brookline, MA
  • NPI 1760343271
  Medicare reassignment NPD Authorized official
• Nysarc Inc

  • Voluntary or Charitable Agency
  • New York, NY
  • NPI 1457450124
  Medicare reassignment NPD
• Ou Health Partners, Inc

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1447834460
  NPD

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1922595933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 MIDDLESEX DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 MIDDLESEX DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204347",
            "telephone_number": "405-269-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEBERRY",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "39161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric Henke-Rose, PHARMD
• Kelby Henkel, M.A. CCC-SLP
• Henley Care LLC
• Darah M Henley
• Tiffany Henley
• Michael Henneberry
• Thomas A Hennebry, MD
• John Paul Hennessee Jr., M.D.
• Nicole Renee Henning, B.A.
• Corbin Henningsen, LCSW

• Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.