DR. PHYLLIS JO HENDERSON MD
NPI 1487863999
Psychiatry & Neurology - Addiction Medicine in Yakima, WA

Q: What is Phyllis Henderson's NPI number?

The NPI number for Phyllis Henderson is 1487863999. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Phyllis Henderson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Henderson was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 21, 2007PECOS EnrolledAccepts Medicare Assignment

402 S 4TH AVE, YAKIMA, WA 98902(808) 575-4084(509) 575-4234 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Phyllis Jo Henderson Md NPPES

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

DR. PHYLLIS JO HENDERSON MD (NPI 1487863999) is an individual addiction medicine provider in Yakima, Washington, licensed in Washington (26126) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1988).

NPPES Registry Identity

NPI1487863999

Entity TypeIndividualFemale

Primary Taxonomy2084A0401X

Provider Legal NameDR. PHYLLIS JO HENDERSONCredential: MD

Location Address402 S 4TH AVEYakima, WA 98902-3546

Mailing Address20980 State Route 410Naches, WA 98937-9173 · (509) 658-1776

Phone(808) 575-4084

Fax(509) 575-4234

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 1988

Enumeration DateMay 21, 2007

Last NPPES UpdateJanuary 4, 2024

NPPES CertifiedJanuary 4, 2024

✔ NPI 1487863999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in WA · 26126

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License WA26126 (WA)

402 S 4TH AVE, Yakima, WA 98902

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phyllis Jo Henderson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446220412

PECOS Enrollment IDI20040727001625

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHRISTIAN SULLIVAN

Counselor (Mental Health)