SOPHIE HENDERSON
NPI 1972337210
Nurse Practitioner - Psychiatric/Mental Health in Montclair, NJ

Active since August 29, 2024PECOS Enrolled
103 PARK ST STE 2C, MONTCLAIR, NJ 07042(973) 791-7557 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sophie Henderson NPPES

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

SOPHIE HENDERSON (NPI 1972337210) is an individual psychiatric/mental health provider in Montclair, New Jersey, licensed in New York (406317) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972337210
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOPHIE HENDERSON
Location Address103 PARK ST STE 2CMontclair, NJ 07042-2935
Mailing Address103 Park St Ste 2cMontclair, NJ 07042-2935
Sole ProprietorNo
Enumeration DateAugust 29, 2024
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
NPI 1972337210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 406317
103 PARK ST STE 2C, Montclair, NJ 07042

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sophie Henderson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 2

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
103 PARK ST STE 2C
MONTCLAIR, NJ 07042
Social Worker (Clinical)
103 PARK ST STE 2C
MONTCLAIR, NJ 07042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972337210, enumerated as an "individual" on August 29, 2024.

The provider is located at 103 PARK ST STE 2C MONTCLAIR, NJ 07042 and the phone number is (973) 791-7557.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.