DR. JOHN L. HENDRICKSON M.D.
NPI 1699775593
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lynchburg, VA

Q: What is John Hendrickson's NPI number?

The NPI number for John Hendrickson is 1699775593. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is John Hendrickson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for John Hendrickson was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 21, 2005PECOS Enrolled

3300 RIVERMONT AVE, LYNCHBURG, VA 24503(434) 200-5999 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. John L. Hendrickson M.d. NPPES

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

DR. JOHN L. HENDRICKSON M.D. (NPI 1699775593) is an individual child & adolescent psychiatry provider in Lynchburg, Virginia, licensed in Virginia (0101053066) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699775593

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JOHN L. HENDRICKSONCredential: M.D.

Location Address3300 RIVERMONT AVELynchburg, VA 24503-2030

Mailing Address1204 Fenwick DrLynchburg, VA 24502-2112

Phone(434) 200-5999

Sole ProprietorNo

Enumeration DateJuly 21, 2005

Last NPPES UpdateMarch 12, 2008

✔ NPI 1699775593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in VA · 0101053066

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

3300 RIVERMONT AVE, Lynchburg, VA 24503

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Other Identifiers 7

Other203639329001Tricare Provider Number

Other2016147Cigna Behavior Provider N

Other132551Value Options Provider Nu

Other186463Anthem Provider Number

Medicare UPING49488VA

OtherO87204Sentara/optima Provider N

Medicare PIN00W834C26

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John L. Hendrickson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CARRIE GUNN TURNER NURSE PRACTITIONER

Nurse Practitioner (Neonatal)

3300 RIVERMONT AVE, INTENSIVE CARE NURSERY
LYNCHBURG, VA 24503

Bedford County (434) 200-5735

MRS. AMANDA BARBARA ANTHONY MS, OTR/L

Occupational Therapist (Neurorehabilitation)