DR. MELINDA HENDERSON (NPI# 1760498943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760498943 |
| Entity Type | Individual |
| Full Name | DR. MELINDA HENDERSON |
| Practice Address |
280 N Old Woodward Ave Suite 200 Birmingham MI 48009-5300 |
| Mailing Address |
4134 Tanglewood Ct Bloomfield Hills MI 48301-1218 |
| Practice Telephone | 2486475665 |
| Mailing Telephone | 2485389787 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301007785 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN | 0 F3 3024 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013966423 | Melinda Shaw Henderson | Family Medicine | 1208 Choctaw Trl, Brentwood, TN 37027 | 2006-05-10 |
| 1487771945 | Melinda C. Henderson | Nurse Practitioner | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2007-03-22 |
| 1679516561 | Melinda Henderson | Nurse Practitioner | 7801 N Knoxville Ave, Peoria, IL 61614-2076 | 2006-06-14 |
| Street Address |
280 N OLD WOODWARD AVE SUITE 200 |
| City | BIRMINGHAM |
| State | MI |
| Zip Code | 48009-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366887788 | Genemedics Health Institute P.C. | Internal Medicine | 280 N Old Woodward Ave, Suite Ll12, Birmingham, MI 48009-5300 | 2013-04-30 |
| 1407034085 | Elizabeth Ann Corby | Psychologist | 280 N Old Woodward Ave, Suite 200, Birmingham, MI 48009-5300 | 2008-02-05 |
| 1376765982 | Mal Marketing LLC | Durable Medical Equipment & Medical Supplies | 280 N Old Woodward Ave, Suite Ll3, Birmingham, MI 48009-5300 | 2007-05-03 |
| 1194870543 | Sharon Hochman | Psychologist | 280 N Old Woodward Ave, Suite Ll14, Birmingham, MI 48009-5300 | 2007-01-24 |
| 1992858971 | Chris Howlett | Psychiatry & Neurology | 280 N Old Woodward Ave, Suite 205, Birmingham, MI 48009-5300 | 2007-01-21 |
| 1588774566 | Elliot Charles Wagenheim | Psychiatry & Neurology | 280 N Old Woodward Ave, Suite 405, Birmingham, MI 48009-5300 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183836 | Carolyn Joanna Archer | Dietitian, Registered | 1155 Derby Rd, Apt 3, Birmingham, MI 48009 | 2017-06-08 |
| 1912374695 | Valerie Kim Kaplansky | Counselor | 300 E. Maple Road, 315, Birmingham, MI 48009 | 2015-08-28 |
| 1578956348 | Nancy Jane Naski | Recreation Therapist | 623 Hanna St, Birmingham, MI 48009 | 2015-03-18 |
| 1619370236 | Caitlin Stoltman | Recreation Therapist | 1669 W. Maple Rd., Far, Birmingham, MI 48009 | 2014-09-28 |
| 1295140770 | Lauren Elizabeth Perlin | Obstetrics & Gynecology | 35046 Woodward Ave Ste 100, Birmingham, MI 48009 | 2014-06-24 |
| 1235560764 | Better Life Learning | Community/Behavioral Health | 33717 Woodward Ave #253, Birmingham, MI 48009 | 2013-12-10 |
| 1689949034 | Drs Housecalls PC | Internal Medicine | 298 S. Old Woodward, Birminham, MI 48009 | 2012-03-19 |
| 1689942021 | Brian Connolly Md PC | Psychiatry & Neurology | 189 Townsend, Suite 300, Birmingham, MI 48009 | 2011-12-13 |
| 1619204187 | Dr. Lori PC | Dermatology | 353 South Old Woodward Ave, Birmingham, MI 48009 | 2009-11-04 |
| 1033348453 | Jason Eric Gregory | Music Therapist | 1669 West Maple, Birmingham, MI 48009 | 2009-07-07 |
| Find all providers in zip 48009 | ||||
| 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 |
|---|---|---|---|---|
| 1275084634 | Steven Anthony Conyers | Psychologist | 655 Chapin Avenue, Birmingham, MI 48009-2032 | 2016-10-20 |
| 1548630585 | Anna Sofen | Psychologist | 261 E Maple Rd # 207, Birmingham, MI 48009-6324 | 2015-10-02 |
| 1992182059 | Jessica Rayner Garrett | Psychologist | 950 Chapin Ave, Birmingham, MI 48009-4724 | 2015-04-28 |
| 1568710952 | Rashada Walker Young | Psychologist | 1700 19th St N, Birmingham, AL 35234-2510 | 2012-08-16 |
| 1326301888 | Wendy Alholm Halverson | Psychologist | 726 South Adams, Birmingham, MI 48009-0000 | 2012-06-20 |
| 1700159670 | Heidi Baird Martin | Psychologist | 676 Smith Ave, Birmingham, MI 48009-2029 | 2012-02-22 |
| 1730467812 | Valerie Luxon | Psychologist | 912 S Old Woodward Ave Ste 200, Birmingham, MI 48009-6721 | 2011-07-24 |
| 1962711960 | David Michael Maxwell | Psychologist | 770 Forest Ave, Birmingham, MI 48009-6431 | 2010-09-25 |
| 1649500315 | David J Schwartz Phd Lp LLC | Psychologist | 300 E Maple Rd Ste 311, Birmingham, MI 48009-6311 | 2010-01-02 |
| 1841432515 | Jonathan David Falk | Psychologist | 999 Haynes St Ste 200, Birmingham, MI 48009-6775 | 2009-03-27 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 48009 |
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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.