JUDITH ANN HENDERSON (NPI# 1518071778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518071778 |
| Entity Type | Individual |
| Full Name | JUDITH ANN HENDERSON |
| Other Name | JUDE HENDERSON |
| Credential | LICENSED PSYCHOLOGIS |
| Practice Address |
3710 South Kiwanis Ave Sioux Falls SD 57105 |
| Practice Telephone | 6053739066 |
| Practice Fax Number | 6053739145 |
| Mailing Telephone | 6053739066 |
| Mailing Fax Number | 6053739145 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 372 | SD | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | R010634 | SD | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH PARTNERS | HP29926 | 01 | |
| BLUE CROSS BLUE SHIELD | 0040725 | 01 | |
| AVERA HEALTH PLANS | 3052 | 01 | |
| HEALTH PARTNERS | 86734 | 01 | |
| SD | SIOUX VALLEY HEALTH PLAN | 22053 | 01 |
| CHOICE PLUS | 106137 | 01 | |
| SD | 6551272 | 05 | |
| MIDLANDS CHOICE | 7878 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275744492 | Judith Henderson | Social Worker | 4570 E Camp Lowell Dr, Tucson, AZ 85712-1282 | 2007-05-28 |
| 1265529127 | Judith Lynn Henderson | Physician Assistant | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2006-10-10 |
| 1831132778 | Judith Blair Henderson | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2006-06-14 |
| Street Address |
3710 SOUTH KIWANIS AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568970788 | Daniel Burow Consulting | Psychologist | 1108 W Glen Eagle Cir, Sioux Falls, SD 57108-4122 | 2018-01-22 |
| 1891244489 | Vitality Psychological Services, LLC | Psychologist | 4900 S Minnesota Ave Ste 103, Sioux Falls, SD 57108-2813 | 2016-09-24 |
| 1114240504 | Thomas L. Price Inc | Psychologist | 6810 S Lyncrest Ave Ste 201, Sioux Falls, SD 57108-2515 | 2010-03-12 |
| 1114180064 | Tracy J Stephens | Psychologist | 1105 W Russell Street, Sioux Falls, SD 57104 | 2008-07-09 |
| 1003957994 | Thomas Charles Himler | Psychologist | 1100 S Cliff Ave, Sioux Falls, SD 57105-1025 | 2007-02-12 |
| 1720187503 | Rebecca Jeanne Watson-miller | Psychologist | 3130 W 57th St Ste 108, Sioux Falls, SD 57108 | 2006-09-21 |
| 1568417657 | Susan K Eleeson | Psychologist | 5000 S Broadband Ln, Ste 107, Sioux Falls, SD 57108-2260 | 2006-05-24 |
| 1235106709 | Ann Catherine Mcclenahan | Psychologist | 111 W 39th St, Sioux Falls, SD 57105-5732 | 2006-03-03 |
| 1750381851 | Douglas L Anderson | Psychologist | 2109 S Norton Ave, Sioux Falls, SD 57105-3730 | 2005-07-29 |
| 1982604401 | Nancy Wise-vanderlee | Psychologist | 2412 S Cliff Ave Ste 200, Sioux Falls, SD 57105-4031 | 2005-07-27 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.