Johnny (blaine) Henderson

MD | Psychiatry | 19+ years Exp


  1200 N Beaver St, Flagstaff
     Arizona, 86001-3118
  928-213-6415    928-213-6409 Maps & Directions
Johnny (blaine) Henderson is a Flagstaff, Arizona based psychiatrist with 19 years of experience in Psychiatry. He completed his graduation from Texas Tech University Health Science Center School Of Medicine in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Johnny (blaine) Henderson is 48599 for Psychiatry in Arizona. His current practice location is 1200 N Beaver St, Flagstaff. Patients can reach him at 928-213-6415 or can fax him at 928-213-6409. Johnny (blaine) Henderson is MD in Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1659492627.
Johnny (blaine) Henderson specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Johnny (blaine) Henderson speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Johnny (blaine) Henderson
Specialization: Psychiatry
Gender:Male
Credentials: MD
Experience: 19+ years
Medical School Attended:Texas Tech University Health Science Center School Of Medicine
Graduation Year:2005
Accepts Medicare Assignment:Yes
Practice Address:1200 N Beaver St, Flagstaff,
Arizona, 86001-3118
Phone:928-213-6415
Fax:928-213-6409
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 1658444096
Enrollment ID: I20140430001464
NPI Number: 1659492627
NPI Enumeration Date: 03 Apr, 2007
NPI Last Update On: 18 Dec, 2015

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Johnny (blaine) Henderson are as mentioned below.
License NumberSpecializationStateStatus
48599Psychiatry ArizonaPrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(030023)Flagstaff, AZAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Johnny (blaine) Henderson is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Northern Arizona Healthcare Corporation (3577473362)320
Other Medical Identifiers:
Other legacy medical identifiers associated with Johnny (blaine) Henderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
879791MedicaidArizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Johnny (blaine) Henderson
1200 N Beaver St, Payer Credentialing
Flagstaff, Arizona
Zip: 86001-3118
Phone Number: 928-773-2559
Fax Number: 928-213-6292
Patients can reach Johnny (blaine) Henderson at 1200 N Beaver St, Flagstaff, Arizona or can call to book an appointment on 928-213-6415.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.