DR. DANIEL J HENDERSON (PH.D.) – Clinical Psychologist, NPI 1720096340

DR. DANIEL J HENDERSON (PH.D.) is a healthcare provider. based in Ocala, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PY0003688 (FL). The NPI Number for DR. DANIEL J HENDERSON (PH.D.) is 1720096340

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL J HENDERSON (PH.D.)
NPI
1720096340
Phone
(352) 732-3333
Address
1515 E SILVER SPRINGS BLVD
Enumeration Date
3 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527323333
Graduation Year
1985 (41 years ago)
PAC ID
5597939660
Group Practice PAC ID
9032379466
Professional Enrollment ID
I20111130000022
Address ID
FL344706844OC1515XBLVD502
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. DANIEL J HENDERSON (PH.D.)

  • 1515, East Silver Springs Boulevard, Ocala, Marion County, Florida, 34470, United States

    SUITE 112

    OCALA, FL 344706831

    Phone: (352) 732-3333

    Fax: (352) 732-2469

    Type: Location

  • Ocala Post Office, Southwest 5th Street, Ocala, Marion County, Florida, 34474, United States

    OCALA, FL 344782854

    Phone: (352) 732-3333

    Fax: (352) 732-2469

    Type: Mailing

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: 2011-11-30

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
I20111130000022IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes7217$0
90791Psychiatric diagnostic evaluation2626$0
96130Evaluation of psychological test, first hour2121$0
96136Administration of psychological or neuropsychological test, first 30 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 34470)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032379466View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL

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Frequently asked questions

How do I look up DR. DANIEL J HENDERSON (PH.D.) by NPI?
Use NPI 1720096340 when you need to reference DR. DANIEL J HENDERSON (PH.D.) in forms, claims, or directories.
Is DR. DANIEL J HENDERSON (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. DANIEL J HENDERSON (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. DANIEL J HENDERSON (PH.D.). Clinical services aligned with this taxonomy classification.
Does DR. DANIEL J HENDERSON (PH.D.) practice in Florida?
You will see Ocala, Florida on file for DR. DANIEL J HENDERSON (PH.D.) alongside any extra practice locations.
How can I contact DR. DANIEL J HENDERSON (PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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