DR. PAMELA JOY HENDERSON


Address: 408 Saint Peter St, Suite 429, Saint Paul, MN 55102-1130
Phone: 6512240614

DR. PAMELA JOY HENDERSON (NPI# 1538169628) 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) 1538169628
Entity Type Individual
Full Name DR. PAMELA JOY HENDERSON
Credential PSYD, LP
Practice Address 408 Saint Peter St
Suite 429
Saint Paul
MN 55102-1130
Practice Telephone 6512240614
Practice Fax Number 6512245754
Mailing Telephone 6512240614
Mailing Fax Number 6512245754
Enumeration Date 2005-07-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist LP3567 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
U CARE 116625 01
MEDICA 61-00942 01
BC/BS 21D53HE 01

Other Providers PAMELA HENDERSON

NPI Name Taxonomy Address Enumeration
1326582339 Pamela Henderson Licensed Practical Nurse 4737 Henry Town Rd, Sevierville, TN 37876-6911 2016-12-09
1134122666 Pamela Renee Henderson Ophthalmology 299 Carew St, Ste 400, Springfield, MA 01104-2361 2005-05-30
1710593496 Pamela Kate Henderson Counselor 476 Appleton St Ste 5, Holyoke, MA 01040-3236 2020-09-18
1528623030 Pamela Suzanne Henderson Counselor 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 2019-05-09
1366806309 Pamela Marie Henderson Licensed Practical Nurse 5151 Monroe St, Toledo, OH 43623 2016-04-06
1184916488 Pamela Henderson Behavioral Analyst 906 Bethlehem Pike, Erdenheim, PA 19038-7731 2011-05-05
1215192935 Pamela Henderson Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-07-22
1891847422 Pamela Alexandra Henderson Case Manager/Care Coordinator 2001 The Alameda, Alliance for Community Care Srvc Team Adult Outpatient, San Jose, CA 95126-1136 2007-01-16
1982673208 Pamela S Henderson Otolaryngology 7425 E Shea Blvd, Suite 105, Scottsdale, AZ 85260-6411 2006-03-17

Office Location

Street Address 408 SAINT PETER ST
SUITE 429
City SAINT PAUL
State MN
Zip Code 55102-1130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659370278 Kate Boyle Psychologist 408 Saint Peter St, Ste 429, Saint Paul, MN 55102-1130 2005-07-15
1205259959 Anne Kalow Social Worker 408 Saint Peter St, Suite 429, Saint Paul, MN 55102-1130 2014-01-31
1467874495 Anesh Patel Psychologist 408 Saint Peter St, Suite 429, Saint Paul, MN 55102-1119 2014-01-10
1790028165 Sherri Mohrland West Licensed Practical Nurse 408 Saint Peter St, Suite 429, Saint Paul, MN 55102-1130 2013-04-03
1720363039 Julie Marcene Stulz Registered Nurse 408 Saint Peter St, Ste 429, Saint Paul, MN 55102-1130 2011-10-18
1306155940 Hamm Psychiatric Clinic Clinic/Center 408 Saint Peter St, Saint Paul, MN 55102-1130 2010-09-30
1285943068 Arleen F. Fitzgerald Social Worker 408 Saint Peter St, Suite 429, Saint Paul, MN 55102-1130 2010-09-28
1629231501 Peggy Ann Kingston Psychologist 408 Saint Peter St, Suite 429, Saint Paul, MN 55102-1130 2008-07-09
1073702775 Mary Elizabeth Androff Psychiatry & Neurology 408 Saint Peter St, Suite 429, Saint Paul, MN 55102-1130 2007-10-18
1275667792 Joseph E Schara Family Dentistry Inc. Dentist 408 Saint Peter St, Suite 412, Saint Paul, MN 55102-1130 2007-03-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720623366 Ning Wu Acupuncturist Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 2019-11-07
1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073161220 Jeffrey Paul Olsen Psychologist 2275 Youngman Ave Ste 204, Saint Paul, MN 55116-3053 2019-08-30
1205496890 Xenia Ewing Psychologist 1611 County Road B W Ste 214, Saint Paul, MN 55113-5021 2019-06-17
1316432867 Lewis M Rambo Psychologist 624 Selby Ave Ste 2, Saint Paul, MN 55104-6614 2018-06-27
1215450622 Margaret Kellogg, Inc Psychologist 241 Cleveland Ave S Ste 1b, Saint Paul, MN 55105-1255 2017-07-18
1104361971 Ruth Markowitz Ma Lp Psychologist 1599 Selby Ave Ste 107, Saint Paul, MN 55104-6263 2017-01-03
1144624636 Martin J. Schoen, Psy.d., L.L.C. Psychologist 2096 Fairways Ln, Saint Paul, MN 55113-3813 2014-10-13
1770863607 Stacy Coleman Symons Psychologist 7582 Currell Blvd Ste 108, Saint Paul, MN 55125-8210 2011-08-23
1427364355 Vanessa Rachelle Rempel Psychologist 241 Cleveland Ave S Ste B6, Saint Paul, MN 55105-1255 2010-08-30
1295060770 Joseph Vincent Bailey Psychologist 1798 Hewitt Ave, Saint Paul, MN 55104-1129 2009-10-16
1205061785 Rebecca Sarah White Psychologist 180 5th St E, Saint Paul, MN 55101-2672 2009-05-27
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Competitor

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City SAINT PAUL
Zip Code 55102

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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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