HENDERSON BEHAVIORAL HEALTH, INC.
NPI 1972454528
Family Medicine in Hollywood, FL

Q: What is Henderson Behavioral Health, Inc.'s NPI number?

The NPI number for Henderson Behavioral Health, Inc. is 1972454528. It was assigned to this organization in the NPPES registry on February 9, 2026.

Q: What is Henderson Behavioral Health, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 09, 2026CLIA 10D2346716 · Waiver

1957 JACKSON ST, HOLLYWOOD, FL 33020(954) 486-4005(954) 497-3857 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Henderson Behavioral Health, Inc. NPPES

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

HENDERSON BEHAVIORAL HEALTH, INC. (NPI 1972454528) is a healthcare organization registered as a family medicine in Hollywood, Florida and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Carol Loman, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1972454528

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHENDERSON BEHAVIORAL HEALTH, INC.

Location Address1957 JACKSON STHollywood, FL 33020-5021

Mailing Address4740 N State Road 7 Ste 201Lauderdale Lakes, FL 33319-5839 · (954) 486-4005 · Fax (954) 497-3857

Phone(954) 486-4005

Fax(954) 497-3857

Organization SubpartYes

Authorized OfficialCarol LomanDirector Of Billing · (954) 486-4005

Enumeration DateFebruary 9, 2026

Last NPPES UpdateMay 15, 2026

NPPES CertifiedMay 15, 2026

✔ NPI 1972454528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1957 JACKSON ST, Hollywood, FL 33020

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2346716

Henderson Behavioral Health, Inc · Hollywood, FL

Active · expires Jul 6, 2028

CLIA Number10D2346716

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 7, 2026

Certificate Expiration DateJuly 6, 2028

Laboratory DirectorMaria S. Gorelick

Laboratory Phone(954) 921-2600

Laboratory LocationHenderson Behavioral Health, Inc1957 Jackson Street, Hollywood, FL 33020

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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.

CHEVONNE L LINTON WILLIAMS LMHC

Counselor (Mental Health)