NPIMap

Organization Active NPI

Henderson Behavioral Health, Inc.

  • Family Medicine Physician
  • Hollywood, FL
National Provider Identifier
1972454528
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HENDERSON BEHAVIORAL HEALTH, INC.
Practice address
1957 Jackson St
Hollywood, FL 33020-5021
Phone
(954) 486-4005
Fax
(954) 497-3857
NPI assigned
Feb 9, 2026
Organization subpart
Yes
Parent organization
HENDERSON BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Carol Loman
Title
Director of Billing
Phone
(954) 486-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1957 Jackson St
Hollywood, FL 33020-5021

Mailing address

4740 N State Road 7 Ste 201
Lauderdale Lakes, FL 33319-5839
Phone (954) 486-4005

National Provider Directory

National Provider Directory
Tax ID family
Henderson Mental HLTH C10 organizations share this tax ID, including this one
Part of
Henderson Mental HLTH C

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4740 N State Road 7
Ste 201
Lauderdale Lakes, FL 33319
Phone (954) 497-3850

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1972454528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N STATE ROAD 7 STE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195839",
            "telephone_number": "954-486-4005",
            "fax_number": "954-497-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 JACKSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330205021",
            "telephone_number": "954-486-4005",
            "fax_number": "954-497-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDERSON BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "LOMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "954-486-4005"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.