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DANA HENDERSON, PH.D., P.C.
NPI 1063748283
Clinic/Center - Adolescent and Children Mental Health in Atlanta, GA

Active since October 22, 2009
2952 VININGS FOREST WAY SE, ATLANTA, GA 30339(404) 247-9274(770) 434-8830 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dana Henderson, Ph.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANA HENDERSON, PH.D., P.C. (NPI 1063748283) is a healthcare organization registered as an adolescent and children mental health in Atlanta, Georgia and active in the NPI registry since October 2009. The organization lists Dana Hughes Henderson, President, as its authorized official.

NPPES Registry Identity

NPI1063748283
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameDANA HENDERSON, PH.D., P.C.
Location Address2952 VININGS FOREST WAY SEAtlanta, GA 30339-4222
Mailing Address2952 Vinings Forest Way SeAtlanta, GA 30339-4222 · (404) 247-9274 · Fax (770) 434-8830
Phone(404) 247-9274
Fax(770) 434-8830
Organization SubpartNo
Authorized OfficialDana Hughes HendersonPresident · (404) 247-9274
Enumeration DateOctober 22, 2009
✔ NPI 1063748283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in GA · PSY001261
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
2952 VININGS FOREST WAY SE, Atlanta, GA 30339
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Other Identifiers 3

Medicare PIN68BBGBKGA
Medicaid000477837AGA
Medicare UPIN41504GA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Henderson, Ph.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dana Henderson, Ph.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dana Henderson, PH.D.
Clinical Psychologist
NPI 1386707594
2952 VININGS FOREST WAY SE
Atlanta, GA 30339
(404) 247-9274
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dana Henderson, Ph.D., P.C.'s NPI number?

The NPI number for Dana Henderson, Ph.D., P.C. is 1063748283. It was assigned to this organization in the NPPES registry on October 22, 2009.

Where is Dana Henderson, Ph.D., P.C. located?

Dana Henderson, Ph.D., P.C. is located at 2952 Vinings Forest Way SE, Atlanta, GA 30339. The listed phone number is (404) 247-9274.

What is Dana Henderson, Ph.D., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is Dana Henderson, Ph.D., P.C. enrolled in Medicare?

Yes. Dana Henderson, Ph.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dana Henderson, Ph.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dana Henderson, Ph.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dana Henderson, Ph.D., P.C. was last updated on October 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.