DEREK C. HENDERSON (NPI# 1255835302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255835302 |
| Entity Type | Individual |
| Full Name | DEREK C. HENDERSON |
| Practice Address |
8270 Willow Oaks Corporate Dr Fl 3 Fairfax VA 22031-4511 |
| Practice Telephone | 7036456609 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
PPS-0605222 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871038109 | Derek Henderson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2016-12-22 |
| 1447530498 | Derek Allen Henderson | Physician Assistant | 1045 E Front St, Buchanan, MI 49107-8474 | 2011-08-23 |
| Street Address |
8270 WILLOW OAKS CORPORATE DR FL 3 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659775294 | Elizabeth Romeo | Social Worker | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4530 | 2014-10-10 |
| 1518454313 | Susan Elizabeth Lonergan | Social Worker | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-17 |
| 1710484860 | Kristina Suzanne Crawford | Psychologist | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-06 |
| 1821595844 | Dana G Condemi Sr. | Social Worker | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-06 |
| 1093211385 | Jonathan Wesley Trullender | Social Worker | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1750887063 | Diana Lucio | Psychologist | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1518463827 | Elizabeth Halmon | Psychologist | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1235635665 | Cara Fratta | Psychologist | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1881190460 | Traci Denise Jamison | Social Worker | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-03 |
| 1164927034 | Anna Bukont | Psychologist | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4511 | 2018-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1235624230 | Kathleen Thibodeau | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3050, Fairfax, VA 22031-4511 | 2018-06-22 |
| 1679079917 | Stephanie Melton Harris | Psychologist | 8270 Willow Oaks Co Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1346746955 | Margaret Moore | Psychologist | 8270 Willow Oaks Co Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-04-03 |
| 1730682667 | Kathryn Casterline | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-03-16 |
| 1639671605 | Marissa Danielle Bilodeau | Psychologist | 8270 Willow Oaks Corporate Dr Ste 2069, Fairfax, VA 22031-4511 | 2018-03-06 |
| 1427550029 | Emily Hannah Perlman | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3061, Fairfax, VA 22031-4511 | 2018-02-28 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on DEREK C. HENDERSON.
| 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.