DR. MICHAEL EDWARD HENDRICKSON (PH.D.) – Clinical Psychologist, NPI 1144255829

DR. MICHAEL EDWARD HENDRICKSON (PH.D.) is a healthcare provider. based in South miami, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY3581 (FL). The NPI Number for DR. MICHAEL EDWARD HENDRICKSON (PH.D.) is 1144255829

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL EDWARD HENDRICKSON (PH.D.)
NPI
1144255829
Phone
(305) 668-5068
Address
7800 SW 57TH AVE
Enumeration Date
11 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
4079518427
Graduation Year
1983 (43 years ago)
PAC ID
0840285763
Professional Enrollment ID
I20130405000263
Address ID
FL327515786MA225XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for DR. MICHAEL EDWARD HENDRICKSON (PH.D.)

  • 7800, Southwest 57th Avenue, South Miami, Miami-Dade County, Florida, 33143, United States

    227

    SOUTH MIAMI, FL 331435528

    Phone: (305) 668-5068

    Fax: (305) 668-5098

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130405000263IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33143)

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Reviews

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Frequently asked questions

What is DR. MICHAEL EDWARD HENDRICKSON (PH.D.)'s NPI number?
DR. MICHAEL EDWARD HENDRICKSON (PH.D.)'s NPI is 1144255829 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MICHAEL EDWARD HENDRICKSON (PH.D.)?
For scheduling context, DR. MICHAEL EDWARD HENDRICKSON (PH.D.) is shown as active in the registry.
What expertise is attributed to DR. MICHAEL EDWARD HENDRICKSON (PH.D.)?
DR. MICHAEL EDWARD HENDRICKSON (PH.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. MICHAEL EDWARD HENDRICKSON (PH.D.) registered?
Use South Miami, Florida as the headline location for DR. MICHAEL EDWARD HENDRICKSON (PH.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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