DR. MICHAEL HENKE (NPI# 1013204817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013204817 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HENKE |
| Credential | M.D. |
| Practice Address |
2900 Indiana Ave Kenner LA 70065-4605 |
| Mailing Address |
113 Christian Ln Slidell LA 70458-1350 |
| Practice Telephone | 5045753700 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD.206561 | LA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD.206561 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2103105 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1305 W Causeway Approach, Mandeville, LA 704713043 | 9852769460 |
| Street Address |
2900 INDIANA AVE |
| City | KENNER |
| State | LA |
| Zip Code | 70065-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417999327 | Access Health Louisiana | Allergy & Immunology | 2900 Indiana Ave, Kenner, LA 70065-4605 | 2006-06-12 |
| 1447814447 | Kristen Aquino | Counselor | 2900 Indiana Ave, Kenner, LA 70065-4605 | 2019-04-24 |
| 1659838118 | Shannon A Howard | Nurse Practitioner | 2900 Indiana Ave, Kenner, LA 70065-4605 | 2019-02-20 |
| 1710425004 | Marjorie Torres | Nurse Practitioner | 2900 Indiana Ave, Kenner, LA 70065-4605 | 2017-02-07 |
| 1205282167 | Access Health Louisiana | Social Worker | 2900 Indiana Ave, Kenner, LA 70065-4605 | 2016-05-10 |
| 1821472879 | Access Health Louisiana | Psychologist | 2900 Indiana Ave, Kenner, LA 70065-4605 | 2015-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998896 | Sarah Hanif | Psychiatry & Neurology | 2300 Severn Ave Apt N212, Metairie, LA 70001-1908 | 2020-07-04 |
| 1750808911 | One Telemed LLC | Psychiatry & Neurology | 1001 W Pinhook Road, Building 3 Suite 219, Lafayette, LA 70503 | 2017-08-28 |
| 1194196535 | Advance Telehealth Consulting Solutions, LLC | Psychiatry & Neurology | 1001 W. Pinhook Road, Building 3 Suite 219, Lafayette, LA 70503 | 2015-10-12 |
| 1710305701 | Erin Prince | Psychiatry & Neurology | 1542 Tulane Ave Rm 238a, New Orleans, LA 70112-2865 | 2014-04-07 |
| 1770826620 | Donna Lou | Psychiatry & Neurology | 117 Acadia Ln, Destrehan, LA 70047-3021 | 2013-03-28 |
| 1952643736 | Maegen S Vincent | Psychiatry & Neurology | 131 South Robertson Street, 14th Floor, New Orleans, LA 70112 | 2013-03-20 |
| 1497013676 | Child Counseling Associates | Psychiatry & Neurology | 313 E William David Pkwy, Metairie, LA 70005-3309 | 2012-04-25 |
| 1417214164 | Nicholas Lawrence Lavin | Psychiatry & Neurology | 913 S College Rd Ste 102, Lafayette, LA 70503-3061 | 2012-04-19 |
| 1093090441 | Naomi Es Mann | Psychiatry & Neurology | 5010 Saint Charles Ave, New Orleans, LA 70115-4939 | 2011-10-17 |
| 1497048912 | Lauren Kaczka-weiss | Psychiatry & Neurology | 1440 Canal St # Tb52, New Orleans, LA 70112-2703 | 2011-05-17 |
| 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.