BONNIJEAN HENRY
NPI 1184179624
Psychologist - Group Psychotherapy in Oakland, CA

Q: What is Bonnijean Henry's NPI number?

The NPI number for Bonnijean Henry is 1184179624. It was assigned to this individual provider in the NPPES registry on August 24, 2016. The provider is also known as Bj Henry.

Q: What is Bonnijean Henry's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Q: Is Bonnijean Henry enrolled in Medicare?

No. Bonnijean Henry has opted out of Medicare through January 5, 2028. 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 Bonnijean Henry was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 24, 2016Opted out of Medicare · through Jan 5, 2028

2501 HARRISON ST, OAKLAND, CA 94612(510) 444-3344 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bonnijean Henry NPPES

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

BONNIJEAN HENRY (NPI 1184179624) is an individual group psychotherapy provider in Oakland, California, licensed in California (103TP2700X) and active in the NPI registry since August 2016. She has opted out of Medicare through January 5, 2028.

NPPES Registry Identity

NPI1184179624

Entity TypeIndividualFemale

Primary Taxonomy103TP2701X

Provider Legal NameBONNIJEAN HENRY

Location Address2501 HARRISON STOakland, CA 94612-3811

Mailing Address268 Via MonteWalnut Creek, CA 94598-3542 · (925) 788-1008

Phone(510) 444-3344

Sole ProprietorNo

Enumeration DateAugust 24, 2016

✔ NPI 1184179624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers

Taxonomy Code103TP2701X

License✔ Licensed in CA · 103TP2700X

Definition

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

2501 HARRISON ST, Oakland, CA 94612

Open in Google Maps ↗

Other Names 1

Other Name (5)Bj Henry

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bonnijean Henry 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 January 5, 2024 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2024

Opt-Out In Effect ThroughJanuary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

MIRIAM MUNZAROVA

Marriage & Family Therapist