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DENNIS L HERENDEEN PH.D.
NPI 1629039813
Psychologist - Forensic in Douglasville, GA

Active since March 29, 2006Accepts Medicare Assignment
6130 PRESTLEY MILL RD, SUITE A, DOUGLASVILLE, GA 30134(770) 949-9675(770) 949-9676 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dennis L Herendeen Ph.d. NPPES

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

DENNIS L HERENDEEN PH.D. (NPI 1629039813) is an individual forensic provider in Douglasville, Georgia, licensed in Georgia (PSY000444) and active in the NPI registry since March 2006. He is a graduate of Emory University School Of Medicine (1972).

NPPES Registry Identity

NPI1629039813
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameDENNIS L HERENDEENCredential: PH.D.
Location Address6130 PRESTLEY MILL RD, SUITE ADouglasville, GA 30134-2288
Mailing Address6130 Prestley Mill Rd, Suite ADouglasville, GA 30134-2288 · (770) 949-9675 · Fax (770) 949-9676
Phone(770) 949-9675
Fax(770) 949-9676
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1972
Enumeration DateMarch 29, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1629039813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in GA · PSY000444
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
6130 PRESTLEY MILL RD, Douglasville, GA 30134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dennis L Herendeen Ph.d. 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 ID6800068818
PECOS Enrollment IDI20111018000384

Medicare Billing Reassignment

Medicare enrollment records show Dennis Herendeen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dennis L. Herendeen, Ph.D., P.C.
Same address
Clinical
6130 PRESTLEY MILL RD STE A
Douglasville, GA 30134
  • Reassigned Medicare billing, Georgia enrollment
NPI 1336363928 (770) 949-9675

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

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
412 services23 patients

Other Providers at the Same Location NPPES 2

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

STACY JAYNES ANDERSON M.ED., LPC
Counselor (Mental Health)
6130 PRESTLEY MILL RD, SUITE A
DOUGLASVILLE, GA 30134
Douglas County (770) 949-9675
SAMUEL DELAFIELD HASKELL PH.D.
Psychologist (Clinical)
6130 PRESTLEY MILL RD, SUITE A
DOUGLASVILLE, GA 30134
Douglas County (770) 949-9675

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 Dennis Herendeen's NPI number?

The NPI number for Dennis Herendeen is 1629039813. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Dennis Herendeen located?

Dennis Herendeen practices at 6130 Prestley Mill Rd Suite A, Douglasville, GA 30134. The listed phone number is (770) 949-9675.

What is Dennis Herendeen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

Is Dennis Herendeen enrolled in Medicare?

Yes. Dennis Herendeen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dennis Herendeen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dennis Herendeen reassigns Medicare benefits to Dennis L. Herendeen, Ph.D., P.C. (Douglasville, GA). The 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 Dennis Herendeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dennis Herendeen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.