DR. CHARLES MICHAEL HENDRICKS (NPI# 1356499016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356499016 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MICHAEL HENDRICKS |
| Credential | M.D. |
| Practice Address |
375 Dixmyth Ave Cincinnati OH 45220-2475 |
| Mailing Address |
4685 Forest Ave Suite C Cincinnati OH 45212-3359 |
| Practice Telephone | 5138622692 |
| Practice Fax Number | 5138627041 |
| Mailing Telephone | 5138534721 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35.077223 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2740001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700997483 | Charles Mark Hendricks | Chiropractor | 112 North Main, Ashland City, TN 37015 | 2006-08-31 |
| 1013068568 | Charles Robert Hendricks Jr. | Physical Therapist | 4400 Us Highway 9, Suite 1500, Freehold, NJ 07728-1383 | 2007-01-12 |
| 1174551394 | Charles Hendricks | Surgery | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2006-06-28 |
| 1194724799 | Charles W Hendricks | Internal Medicine | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2005-07-18 |
| Street Address |
375 DIXMYTH AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45220-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853203 | Jonathan A Bernfeld | Psychiatry & Neurology | 375 Dixmyth Ave, Cincinnati, OH 45220 | 2005-07-07 |
| 1275140006 | Rebekah Alyson Pike | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-09-25 |
| 1033721147 | Joedaycya Sanders | Nurse Practitioner | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-19 |
| 1609487040 | Sarthak Aryal | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-10 |
| 1922619345 | Vivek Sharma | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-10 |
| 1821608159 | Mohamad El Labban | Internal Medicine | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-08-02 |
| 1891311700 | Kelsey Leigh Prickel | Nurse Anesthetist, Certified Registered | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-17 |
| 1891310819 | Eric Blake Slusher | Registered Nurse | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-15 |
| 1063037521 | Jena Michelle Bolte | Registered Nurse | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-06-10 |
| 1851910921 | Guillermo Alexander Asmar Vargas | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414558 | Gerthlan LLC | Home Health | 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 | 2020-10-15 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1982262648 | Frank Hiroshi Harris | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 | 2019-05-29 |
| 1184121303 | Patina E Nelson | Counselor | 311 Martin Luther King Dr W, Cincinnati, OH 45220 | 2018-04-13 |
| 1558701540 | Mohd Amer Alsamman | Internal Medicine | 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 | 2013-07-05 |
| 1104057868 | Dorothy Kimberly Grizzell | Occupational Therapy Assistant | 440 Lafayette Ave., Cincinnati, OH 45220 | 2009-07-29 |
| 1184865651 | Maria C Nicholson | Dietitian, Registered | 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 | 2009-03-13 |
| 1508066507 | Amy Elizabeth Banks | Physical Therapist | Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 | 2007-07-19 |
| 1821213968 | Ann Gelke | Psychiatry & Neurology | 3447 Cornell Pl, Cincinnati, OH 45220 | 2007-04-16 |
| 1538283627 | Manish Srivastava | Internal Medicine | 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 | 2007-03-16 |
| Find all providers in zip 45220 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669003281 | James Roger Nicholas | Psychiatry & Neurology | 11170 Maple Knoll Ter Unit L215, Cincinnati, OH 45246-4154 | 2020-02-02 |
| 1831551969 | Jennifer Mcphee | Psychiatry & Neurology | 3333 Burnet Ave # Mcl6015, Cincinnati, OH 45229-3026 | 2016-03-28 |
| 1790104099 | Brad Martin Wuerfel | Psychiatry & Neurology | 8050 Hosbrook Rd Ste 100, Cincinnati, OH 45236 | 2014-04-15 |
| 1255774873 | Sarbori Rumpa Bhattacharya | Psychiatry & Neurology | 7400 Graves Rd, Cincinnati, OH 45243-3549 | 2013-04-12 |
| 1902165459 | Sagi S Raju | Psychiatry & Neurology | 5355 Indian Heights Dr, Cincinnati, OH 45243-3838 | 2012-05-03 |
| 1144510447 | Carina Elizabeth Behrens | Psychiatry & Neurology | 3001 Highland Ave Ste D, Cincinnati, OH 45219-2315 | 2011-04-08 |
| 1578879979 | Giuliana Centurion | Psychiatry & Neurology | 3001 Highland Ave Ste B, Cincinnati, OH 45219-2315 | 2010-08-23 |
| 1477714830 | Logan K. Wink | Psychiatry & Neurology | 4790 Red Bank Rd Ste 212, Cincinnati, OH 45227-1509 | 2008-06-18 |
| 1841494531 | Mayra Lyzette Muniz-helm | Psychiatry & Neurology | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2007-06-14 |
| 1205047594 | Michael T Cannon | Psychiatry & Neurology | 4721 Reading Road, Cincinnati, OH 45237 | 2007-05-25 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45220 |
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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.