DR. SHANNON LEAH HENDRICKSON (NPI# 1629510169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629510169 |
| Entity Type | Individual |
| Full Name | DR. SHANNON LEAH HENDRICKSON |
| Credential | PSY.D. |
| Practice Address |
2620 N 140th Ave Ste 101 Goodyear AZ 85395-2437 |
| Practice Telephone | 6235367956 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4779 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2105 N Citrus Rd, Goodyear, AZ 853959204 | 6238530304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604620 | Shannon Hendrickson | Behavior Technician | 8200 Professional Pl Ste 115, Landover, MD 20785-2293 | 2018-10-11 |
| 1073649919 | Shannon Jane Hendrickson | Counselor | 151 Mystic Ave, Medford, MA 02155-4632 | 2007-02-26 |
| Street Address |
2620 N 140TH AVE STE 101 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558699843 | Stacey Stocks | Social Worker | 2620 N 140th Ave Ste 101, Goodyear, AZ 85395-2437 | 2009-11-24 |
| 1952835654 | Raechel Smith | Social Worker | 2620 N 140th Ave Ste 101, Goodyear, AZ 85395-2437 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689938185 | Spencer T Beck | Psychologist | 15661 W Devonshire Ave, Goodyear, AZ 85395-7775 | 2012-06-28 |
| 1255600821 | Jennifer Baumgardner | Psychologist | 10787 S Dreamy Dr, Goodyear, AZ 85338-9618 | 2011-12-27 |
| 1275786410 | Neal J Kennington | Psychologist | 14441 W Mcdowell Rd, Suite B-102, Goodyear, AZ 85395-2519 | 2008-10-31 |
| 1174553028 | Jennifer Kaye Paweleck-bellingrodt | Psychologist | 14539 W Indian School Rd, Suite 800, Goodyear, AZ 85395-9279 | 2006-07-04 |
| 1376007823 | Sonya Grace Willis | Psychologist | 140 N Litchfield Rd Ste 200, Goodyear, AZ 85338-1226 | 2019-01-29 |
| 1366834533 | Bps Advanced Wellness, Pllc | Psychologist | 14441 W Mcdowell Rd, Suite B-102, Goodyear, AZ 85395-2519 | 2015-02-25 |
| 1629469135 | Karen Mansfield-blair | Psychologist | 15655 W Roosevelt St, Suite 243, Goodyear, AZ 85338-9282 | 2015-02-05 |
| 1528459039 | Dr. Leonard & Associates, LLC | Psychologist | 15655 W Roosevelt St, Ste 243, Goodyear, AZ 85338-9282 | 2015-02-05 |
| 1295972768 | Barbara Baumgardner | Psychologist | 600 N Bullard Ave Ste 10, Goodyear, AZ 85338-2518 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881341 | Barbara C Burt Psyd LLC | Psychologist | 335 Foothills South Dr, Sedona, AZ 86336-5027 | 2020-11-02 |
| 1679173447 | Antonia Marie Garcia | Psychologist | 6262 N Swan Rd Ste 160, Tucson, AZ 85718-3636 | 2020-10-29 |
| 1346847951 | Flourish Mental Wellness, Pllc | Psychologist | 112 N Central Ave Ste M26, Phoenix, AZ 85004-2309 | 2020-10-06 |
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1164031100 | Karina Fleming | Psychologist | 1173 S Coyote Summit Pl, Tucson, AZ 85745-0003 | 2020-07-27 |
| 1881202042 | Sara L Cole | Psychologist | 3933 E Edna Ave Ste 101, Phoenix, AZ 85032-2127 | 2020-07-14 |
| 1871115311 | Aims-az, LLC | Psychologist | 1346 E. Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-05-07 |
| 1881222081 | Ronald C Bean | Psychologist | 1699 W Stanford Ave, Gilbert, AZ 85233-2905 | 2020-04-01 |
| 1972139251 | Shirley Yang | Psychologist | 9165 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4847 | 2020-03-18 |
| 1063043776 | John R. Corbett | Psychologist | 4421 E Havasu Rd, Tucson, AZ 85718-2519 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
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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.