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JOHN M HENDERSON MD FAPA, PLLC
NPI 1164850657
Clinical Neuropsychologist in San Angelo, TX

Active since October 22, 2013
716 S KOENIGHEIM ST, SAN ANGELO, TX 76903(443) 829-5805 Get Directions Write a Review

NPPES record last updated: March 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John M Henderson Md Fapa, Pllc NPPES

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

JOHN M HENDERSON MD FAPA, PLLC (NPI 1164850657) is a healthcare organization registered as a clinical neuropsychologist in San Angelo, Texas and active in the NPI registry since October 2013. The organization lists John M Henderson, Provider, as its authorized official.

NPPES Registry Identity

NPI1164850657
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameJOHN M HENDERSON MD FAPA, PLLC
Location Address716 S KOENIGHEIM STSan Angelo, TX 76903-6770
Mailing Address716 S Koenigheim StSan Angelo, TX 76903-6770 · (325) 617-7913 · Fax (325) 617-7917
Phone(443) 829-5805
Organization SubpartNo
Authorized OfficialJohn M HendersonProvider · (325) 617-7913
Enumeration DateOctober 22, 2013
Last NPPES UpdateMarch 18, 2014
✔ NPI 1164850657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in TX · D4150
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
716 S KOENIGHEIM ST, San Angelo, TX 76903
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Other Identifiers 1

OtherD4150TX · Tx Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 John M Henderson MD Fapa, PLLC's NPI number?

The NPI number for John M Henderson MD Fapa, PLLC is 1164850657. It was assigned to this organization in the NPPES registry on October 22, 2013.

Where is John M Henderson MD Fapa, PLLC located?

John M Henderson MD Fapa, PLLC is located at 716 S Koenigheim St, San Angelo, TX 76903. The listed phone number is (443) 829-5805.

What is John M Henderson MD Fapa, PLLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for John M Henderson MD Fapa, PLLC was last updated on March 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.