DR. DAVID C. HENDERSON (NPI# 1699759076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699759076 |
| Entity Type | Individual |
| Full Name | DR. DAVID C. HENDERSON |
| Credential | MD |
| Practice Address |
25 Staniford St Boston MA 02114-2503 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
| Practice Telephone | 6179127800 |
| Practice Fax Number | 6177233919 |
| Mailing Telephone | 6174145405 |
| Mailing Fax Number | 6174146031 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
75530 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 075530 | 01 |
| MA | BCBS MA | J12159 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962644492 | David Kelso Henderson | Internal Medicine | Room 6 1480 Bldg 10, 10 Center Drive, Bethesda, MD 20892-0001 | 2009-03-30 |
| 1346400249 | David Duff Henderson | Psychiatry & Neurology | 1033 El Camino Real, Atascadero, CA 93422 | 2008-06-13 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1992820773 | David J Henderson | Dentist | 857 S Auto Mall Rd, Bloomington, IN 47401-5447 | 2007-03-20 |
| 1578600227 | David J Henderson | Pediatrics | 2507 Battleground Ave, Suite B, Greensboro, NC 27408-4003 | 2007-01-31 |
| 1831245893 | David L Henderson | Psychiatry & Neurology | 5910 N Central Expy, Suite 790, Dallas, TX 75206-5125 | 2007-01-25 |
| 1306995527 | David Henderson | Internal Medicine | 531 Polk 77, Mena, AR 71953-7848 | 2007-01-09 |
| 1972679868 | David William Henderson | Pharmacist | 523 First St, Glasgow, MO 65254 | 2006-11-24 |
| 1215027289 | David T Henderson | Counselor | 301-a Palmetto Park Blvd, Lexington, SC 29072 | 2006-10-13 |
| 1700838570 | David V Henderson | Family Medicine | 312 S Maple St, Garnett, KS 66032 | 2006-05-17 |
| Street Address |
25 STANIFORD ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134100035 | Susan J Lewis | Psychologist | 25 Staniford St, Lindemann Mental Health Center, Boston, MA 02114-2503 | 2005-11-08 |
| 1407405806 | Analisse Keila Cruz | Counselor | 25 Staniford St, Boston, MA 02114-2503 | 2019-09-09 |
| 1609433895 | Adrienne Marie Mosey | Social Worker | 25 Staniford St, Boston, MA 02114-2503 | 2019-05-22 |
| 1003373671 | Bena Berry | Counselor | 25 Staniford St, Boston, MA 02114-2503 | 2019-03-01 |
| 1801361381 | Dexter Stark | Social Worker | 25 Staniford St, Boston, MA 02114-2503 | 2018-10-10 |
| 1497238521 | Barb Eager | Social Worker | 25 Staniford St, Boston, MA 02114-2503 | 2018-09-14 |
| 1205318839 | Stella O'donnell-leach | Counselor | 25 Staniford St, Boston, MA 02114-2503 | 2018-08-30 |
| 1023502614 | Tracy Rose Sardo | Social Worker | 25 Staniford St, Boston, MA 02114-2503 | 2018-06-18 |
| 1447740659 | Drew Joseph Miller | Psychologist | 25 Staniford St, Boston, MA 02114-2503 | 2018-05-14 |
| 1659814127 | Nicole Porcaro | Counselor | 25 Staniford St, 4th Floor, Boston, MA 02114-2503 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| 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 |
|---|---|---|---|---|
| 1588273320 | Measured Wellness LLC | Psychiatry & Neurology | 47 Seaverns Ave # 5, Boston, MA 02130-2876 | 2020-07-28 |
| 1346893336 | Gregory Michael Cohen | Psychiatry & Neurology | 720 Harrison Ave Boston Medical Center, Doctors Office, Suite 7600, Boston, MA 02118 | 2019-07-19 |
| 1124523311 | Varsha Radhakrishnan | Psychiatry & Neurology | 330 Brookline Avenue, Rabb-2, Bidmc Harvard Psychiatry Residency Training Program, Boston, MA 02215 | 2018-03-28 |
| 1760987408 | Lucy Lan | Psychiatry & Neurology | Department of Psychiatry, Boston Medical Center, Doctor's Office Building, 720 Harrison Ave, Suite 915, Boston, MA 02118 | 2018-03-26 |
| 1245734607 | Brittany Morgan Gouse | Psychiatry & Neurology | 720 Harrison Ave Fl 9, Boston, MA 02118 | 2018-03-21 |
| 1063875482 | Mariel Linnea Cataldi | Psychiatry & Neurology | 720 Harrison Ave Ste 915, Boston, MA 02118-2334 | 2016-04-02 |
| 1568824134 | Eric Roll | Psychiatry & Neurology | 720 Harrison Ave Ste 914, Boston, MA 02118-2334 | 2016-03-23 |
| 1386031631 | Kevin Mauclair Simon | Psychiatry & Neurology | 300 Longwood Ave Fl 1, Boston, MA 02115-5724 | 2015-04-23 |
| 1073909479 | Joshua Ryan Smith | Psychiatry & Neurology | 55 Fruit St Ste 6a, Boston, MA 02114-2696 | 2015-04-13 |
| 1730508540 | Stephanie Tung | Psychiatry & Neurology | 450 Brookline Ave # Da2016a, Boston, MA 02215-5418 | 2014-04-08 |
| Find all providers in BOSTON | ||||
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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.