Active NPI
Sandra H. Henderson, PH.D., LCP
- Clinical Child & Adolescent Psychologist
- Mechanicsville, VA
National Provider Identifier
1942446307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 0810004045
- Practice address
- 9376 Atlee Station Rd
Mechanicsville, VA 23116-2602 - Phone
- (804) 730-0990
- NPI assigned
- Jan 6, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0810004045 | VA | Primary |
Addresses
Primary practice location
9376 Atlee Station Rd
Mechanicsville, VA 23116-2602
Mailing address
9376 Atlee Station Rd
Mechanicsville, VA 23116-2602
Phone (804) 730-0990
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004045 | VA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1942446307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9376 ATLEE STATION RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162602",
"telephone_number": "804-730-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9376 ATLEE STATION RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162602",
"telephone_number": "804-730-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "SANDRA",
"middle_name": "H.",
"credential": "PH.D., LCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VA",
"license": "0810004045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.