DR. BILL LEE HENNINGS (NPI# 1770574741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770574741 |
| Entity Type | Individual |
| Full Name | DR. BILL LEE HENNINGS |
| Credential | PH.D. |
| Practice Address |
627 Winter St Ne Salem OR 97301-2428 |
| Practice Telephone | 5039315025 |
| Practice Fax Number | 5033713839 |
| Mailing Telephone | 5039315025 |
| Mailing Fax Number | 5033713839 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0614 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | UBH PROVIDER ID | N54264777 | 01 |
| OR | SALEM HOSP MED STAFF ID # | 906669 | 01 |
| OR | OMAP PROVIDER NUMBER | 110791 | 01 |
| OR | HEALTH NET | 1770574741 | 01 |
| OR | REGENCE BC PROVIDER# | 064073000 | 01 |
| OR | VALUE OPTIONS MHS# | 559447 | 01 |
| Street Address |
627 WINTER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841460847 | Irmgard Friedburg | Psychologist | 627 Winter St Ne, Salem, OR 97301-2428 | 2008-03-05 |
| 1164596813 | Joshua James Boyd | Psychologist | 627 Winter St Ne, Salem, OR 97301-2428 | 2006-11-17 |
| 1144265596 | Susan Marie South | Psychiatry & Neurology | 627 Winter St Ne, Salem, OR 97301 | 2006-06-19 |
| 1831145556 | Leslie Janelle Pitchford | Psychologist | 627 Winter St Ne, Salem, OR 97301-2428 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1871114793 | Lola White Psyd LLC | Psychologist | 388 State St Ste 704, Salem, OR 97301-4023 | 2020-05-01 |
| 1992270615 | Dr Taloyo LLC | Psychologist | 3000 Market St Plaza Ne Ste 426, Salem, OR 97301-1894 | 2018-10-09 |
| 1023509825 | Kevin T Cannon | Psychologist | 10 Federal St Ste 307, Salem, MA 01970-3860 | 2018-05-29 |
| 1538659339 | Morgan K Eichorst | Psychologist | 1970 Roanoke Blvd # 116b, Salem, VA 24153-6478 | 2018-05-16 |
| 1093235038 | Lauren Katherine Meehan | Psychologist | 87 Stiles Rd Ste 106, Salem, NH 03079-2899 | 2017-06-21 |
| 1942660196 | Andrew Kenagy | Psychologist | 2601 25th St Se Ste 420, Salem, OR 97302 | 2016-03-01 |
| 1689926677 | Daniel V Smith | Psychologist | 2600 Center Street Ne (office Go5-216), Oregon State Hospital, Forensic Evaluation Service, Salem, OR 97301-2669 | 2012-10-15 |
| 1225333958 | Robert H. Jones, Ph.d., P.C. | Psychologist | 1307 Commercial St. S.e., Salem, OR 97302-4205 | 2011-01-11 |
| 1891006383 | Tessa Nicole Salisbury | Psychologist | 170 E 300 S, Salem, UT 84653-9453 | 2010-06-29 |
| Find all providers in SALEM | ||||
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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.