MR. NORMAN E. HENDRICKSEN


Address: 521 W. Enterprise, Clovis, CA 93619-8357
Phone: 5593229734

MR. NORMAN E. HENDRICKSEN (NPI# 1649371212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649371212
Entity Type Individual
Full Name MR. NORMAN E. HENDRICKSEN
Credential PHD.
Practice Address 521 W. Enterprise
Clovis
CA 93619-8357
Mailing Address P.o. Box 27763
Fresno
CA 93729-1031
Practice Telephone 5593229734
Practice Fax Number 5594991232
Mailing Telephone 5594991233
Mailing Fax Number 5594991232
Enumeration Date 2006-09-26
Last Update Date 2012-03-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor OPL59380 CA Behavioral Health & Social Service Providers
Y 103T00000X Psychologist PSY5938 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PSY059380 05

Office Location

Street Address 521 W. ENTERPRISE
City CLOVIS
State CA
Zip Code 93619-8357

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568610913 Douglas Edward Hoehing Psychologist 1797 San Jose Ave, Clovis, CA 93611-3078 2008-08-28
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1346479227 Debra Lynn Anderson-winegarden Psychologist 106 Pollasky Ave Ste D, Clovis, CA 93612-1159 2009-07-13
1336261833 Michael D. Zimmerman Psychologist 642 Pollasky Ave, Suite 210, Clovis, CA 93612-1875 2007-04-04
1649201500 Lynette Eve Bassman Psychologist 255 W Bullard Ave, Ste 101, Clovis, CA 93612-0861 2006-07-06

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Competitor

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City CLOVIS
Zip Code 93619

Improve Information

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Dataset Information

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.

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