HENDERSON FAMILY CHIROPRACTIC LLC (NPI# 1265725899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265725899 |
| Entity Type | Organization |
| Organization Name | HENDERSON FAMILY CHIROPRACTIC LLC |
| Practice Address |
1097 Farmington Ave Berlin CT 06037-2241 |
| Practice Telephone | 8608288220 |
| Practice Fax Number | 8608288220 |
| Mailing Telephone | 8608288220 |
| Mailing Fax Number | 8608288220 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | DR. WALTER HENDERSON JR. (DOCTOR/OWNER) |
| Authorized Official Telephone | 8608288220 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001443 | CT | Chiropractic Providers |
| Street Address |
1097 FARMINGTON AVE |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417044165 | Kimberly Henderson-kjellen | Psychologist | 1097 Farmington Ave, Berlin, CT 06037-2241 | 2006-10-06 |
| 1073012597 | Psychological Services of Kensington, LLC | Community/Behavioral Health | 1097 Farmington Ave, Berlin, CT 06037-2241 | 2018-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487927893 | Patricia Ann Spiegel Dc LLC | Chiropractor | 262 S White Horse Pike, Berlin, NJ 08009-1902 | 2012-02-15 |
| 1578788238 | Kappes Wellness Centers, P.a. | Chiropractor | 11032 Nicholas Ln, Suite A102, Berlin, MD 21811-3297 | 2007-04-16 |
| 1033235924 | Thomas P Kappes | Chiropractor | 11032 Nicholas Lane, Suite 102a, Berlin, MD 21811 | 2007-03-22 |
| 1598898017 | Cedar Brook Chiropractic LLC | Chiropractor | 1 Myers Ave, Berlin, NJ 08009 | 2007-03-13 |
| 1528105871 | Christine Diane Miller | Chiropractor | 4585 State Rt 39, Suite C, Berlin, OH 44610 | 2007-01-30 |
| 1144375924 | Christopher Roger Lau | Chiropractor | 120 Commercial St, Berlin, WI 54923-1737 | 2007-01-24 |
| 1720154677 | Terry Lin Wepner | Chiropractor | 147 N State Street, Berlin, WI 54923-1621 | 2006-11-24 |
| 1215007562 | Carrie M Hartney | Chiropractor | 3 Webster Square Rd, Berlin, CT 06037-2326 | 2006-11-08 |
| 1306854286 | Patricia A Spiegel | Chiropractor | 262 South White Horse Pike, Berlin Chiropractic, Berlin, NJ 08009 | 2006-08-04 |
| 1285654582 | Carl Anthony Depativo | Chiropractor | 162 W White Horse Pike, Berlin, NJ 08009-2003 | 2006-07-20 |
| Find all providers in BERLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.