DR. ELIZABETH WHITE HENRIKSON


Address: 309 Belmont St, Worcester, MA 01604
Phone: 5083684000

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 309 BELMONT ST
City WORCESTER
State MA
Zip Code 01604

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City WORCESTER
Zip Code 01604

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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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