Active NPI
Robert L Henderson, PSY.D.
- Psychologist
- New Rochelle, NY
National Provider Identifier
1972940328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019658-1
- Practice address
- 715 North Ave
New Rochelle, NY 10801-1830 - Phone
- (914) 633-2195
- NPI assigned
- May 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019658-1 | NY | Primary |
Addresses
Primary practice location
715 North Ave
New Rochelle, NY 10801-1830
Mailing address
715 North Ave
New Rochelle, NY 10801-1830
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019658-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RLH Psychological Wellness Services, PLLC | Current | Accepting new patients |
Locations
28 New Hempstead Rd
New City, NY 10956
Phone (201) 660-4279
Organizations & group practices 1
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.
-
- Clinical Psychologist
- New City, NY
- NPI 1154051092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1972940328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 NORTH AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108011830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 NORTH AVE",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108011830",
"telephone_number": "914-633-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019658-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.