Active NPI
Heather C Henrickson, PHD
- Psychologist
- Wauwatosa, WI
National Provider Identifier
1992944763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2790-057
- Practice address
- 9000 W Wisconsin Ave
Wauwatosa, WI 53226-4874 - Phone
- (414) 266-2939
- NPI assigned
- Feb 18, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2790-057 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Wauwatosa, WI 53226-4874
Mailing address
PO Box 1997
Children'S Hospital of Wisconsin, Ms750
Milwaukee, WI 53201-1997
Phone (414) 266-2939
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 |
|---|---|---|---|
| 2790-057 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1992944763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1997",
"address_2": "CHILDREN'S HOSPITAL OF WISCONSIN, MS750",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532011997",
"telephone_number": "414-266-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRICKSON",
"first_name": "HEATHER",
"middle_name": "C",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2790-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.