JUDITH BLAIR HENDERSON (NPI# 1831132778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831132778 |
| Entity Type | Individual |
| Full Name | JUDITH BLAIR HENDERSON |
| Credential | PH.D. |
| Practice Address |
5101 Olson Memorial Hwy Suite 4002 Golden Valley MN 55422-5149 |
| Practice Telephone | 7635957294 |
| Practice Fax Number | 7635957293 |
| Mailing Telephone | 7635957294 |
| Mailing Fax Number | 7635957293 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
LP3720 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518071778 | Judith Ann Henderson | Psychologist | 3710 South Kiwanis Ave, Sioux Falls, SD 57105 | 2006-08-17 |
| 1275744492 | Judith Henderson | Social Worker | 4570 E Camp Lowell Dr, Tucson, AZ 85712-1282 | 2007-05-28 |
| 1265529127 | Judith Lynn Henderson | Physician Assistant | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2006-10-10 |
| Street Address |
5101 OLSON MEMORIAL HWY SUITE 4002 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922046481 | Diann M Ackard | Psychologist | 5101 Olson Memorial Hwy, #4001, Golden Valley, MN 55422-5149 | 2006-06-04 |
| 1346613478 | Christine Gibbon, Phd, Lp, LLC | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2015-11-11 |
| 1942695309 | Catherine L. Cronemeyer, Psy.d., L.p., L.L.C. | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2015-04-02 |
| 1780982223 | Kerry G. Aikman | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2011-03-08 |
| 1114932522 | Carol B. Peterson Ph.d., L.p., LLC | Clinic/Center | 5101 Olson Memorial Hwy, Suite 4005, Golden Valley, MN 55422-5149 | 2006-07-31 |
| 1992740922 | Kathleen A. Jacobson | Psychologist | 5101 Olson Memorial Hwy, Suite 4003, Golden Valley, MN 55422-5149 | 2006-06-16 |
| 1558305565 | Kathryn Brevard Miller | Psychologist | 5101 Olson Memorial Hwy, Suite 4004, Golden Valley, MN 55422-5149 | 2006-06-16 |
| 1114969409 | Kathryn B. Miller, P.a. | Psychologist | 5101 Olson Memorial Hwy, Suite 4004, Golden Valley, MN 55422-5149 | 2006-06-12 |
| 1154363414 | K.a. Jacobson, Ph.d., Pllc | Clinic/Center | 5101 Olson Memorial Hwy, Suite 4003, Golden Valley, MN 55422-5149 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070942 | Jeremy Allen Strange | Psychologist | 965 Jefferson St Se Apt 1, Hutchinson, MN 55350-3249 | 2019-08-26 |
| 1235521857 | Abdikafi Sheikh | Psychologist | 419 Cedar Ave S # 379, Minneapolis, MN 55454-1032 | 2015-02-19 |
| 1093874281 | Thomas Leo Diana | Psychologist | 66 E 3rd St, Winona, MN 55987-3478 | 2006-12-06 |
| 1356826325 | Kelly Jordan | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2018-09-26 |
| 1518485168 | Emily Anne Schmidtman | Psychologist | 4801 Veterans Drive, St. Cloud, MN 56329 | 2017-09-05 |
| 1184707002 | William N Robiner | Psychologist | 516 Delaware St Se, Pwb Third Floor, Clinic 3a, Minneapolis, MN 55455-0356 | 2006-10-23 |
| 1407864515 | Suzanne Beth Candell | Psychologist | 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-1052 | 2006-08-04 |
| City | GOLDEN VALLEY |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on JUDITH BLAIR 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.