DR. ELIZABETH WHITE HENRIKSON (NPI# 1053480822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053480822 |
Entity Type | Individual |
Full Name | DR. ELIZABETH WHITE HENRIKSON |
Credential | PH.D. |
Practice Address |
309 Belmont St Worcester MA 01604 |
Mailing Address |
Po Box 43 Lunenburg MA 01462-0043 |
Practice Telephone | 5083684000 |
Mailing Telephone | 9786609689 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2018-05-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 4861 | MA | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
4861 | MA | Behavioral Health & Social Service Providers |
N | 103TF0200X |
Psychologist Specialization: Forensic |
4861 | MA | Behavioral Health & Social Service Providers |
Street Address |
309 BELMONT ST |
City | WORCESTER |
State | MA |
Zip Code | 01604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770542680 | Lori Ann Keough | Nurse Practitioner | 309 Belmont St, Worcester, MA 01604-1059 | 2006-03-20 |
1730656760 | The Commonwealth of Massachusetts | Psychiatric Hospital | 309 Belmont St, Worcester, MA 01604-1059 | 2018-10-29 |
1043795792 | Dana Lynn Mcmannus | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-28 |
1790268407 | Jacqueline Ducharme | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-09 |
1154803153 | Regina Elaine Amorello | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-09-05 |
1649752288 | Elizabeth Gale-bentz | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-30 |
1538640917 | Alexander Wilkins | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-23 |
1225519812 | Claire Nicole Bryson | Student in an Organized Health Care Education/Training Program | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-22 |
1265912547 | Alexandra Doucette | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-08-16 |
1346727583 | Jane Ellen Malkiewich | Social Worker | 309 Belmont St, Worcester, MA 01604-1059 | 2018-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
Find all providers in zip 01604 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609866581 | Michael Cirillo | Clinical Neuropsychologist | 469 Chandler St, Worcester, MA 01602-2529 | 2005-10-24 |
1316930142 | Sheree L Estes | Clinical Neuropsychologist | 189 May St, Worcester, MA 01602-4339 | 2005-08-26 |
1124509534 | Vera Alejandra Klinoff | Clinical Neuropsychologist | 100 Century Dr, Worcester, MA 01606-1244 | 2018-08-23 |
1962957043 | Erika L. Clark | Clinical Neuropsychologist | 100 Century Dr, Worcester, MA 01606-1244 | 2016-08-18 |
1811314396 | Rachel Mintz | Clinical Neuropsychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2014-03-24 |
1184063711 | Elizabeth Reese | Clinical Neuropsychologist | 100 Century Dr, Worcester, MA 01606 | 2013-06-17 |
1639306467 | Clare T Humphreys | Clinical Neuropsychologist | 100 Century Dr, Worcester, MA 01606-1244 | 2009-06-19 |
1568543569 | David A Kent | Clinical Neuropsychologist | 189 May St, Worcester, MA 01602-4339 | 2006-10-17 |
1396764692 | Jeffrey Jay Gaines | Clinical Neuropsychologist | 50 Elm St, Suite 6, Worcester, MA 01609-2574 | 2006-07-18 |
1679533277 | Bertha-elena Rojas | Clinical Neuropsychologist | 469 Chandler St, Worcester, MA 01602-2529 | 2006-03-27 |
Find all providers in WORCESTER |
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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.