BRIDGET HENRY PHD - NPI 1083276760 - Psychologist in Phoenix, AZ

Q: What is Bridget Henry's NPI number?

The NPI number for Bridget Henry is 1083276760. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Bridget Henry's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Bridget Henry enrolled in Medicare?

No. Bridget Henry has opted out of Medicare through October 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Bridget Henry was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Bridget Henry Phd NPPES

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

BRIDGET HENRY PHD (NPI 1083276760) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (PSY-005384) and active in the NPI registry since July 2019. She has opted out of Medicare through October 13, 2026.

NPPES Registry Identity

NPI1083276760

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameBRIDGET HENRYCredential: PHD

Location Address8825 N 23RD AVE STE 100Phoenix, AZ 85021-4148

Mailing AddressPo Box 31671Phoenix, AZ 85046-1671 · (813) 300-6176

Phone(480) 809-9776

Sole ProprietorYes

Enumeration DateJuly 2, 2019

Last NPPES UpdateApril 18, 20223 updates tracked since enumeration

NPPES CertifiedApril 18, 2022

✔ NPI 1083276760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AZ · PSY-005384

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8825 N 23RD AVE STE 100, Phoenix, AZ 85021

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bridget Henry Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 13, 2022 through October 13, 2026.

Opt-Out Effective DateOctober 13, 2022

Opt-Out In Effect ThroughOctober 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FEP NCCH

Emergency Medicine