DR. PATTI GAIL HENDERSON (PH.D.) – Clinical Psychologist, NPI 1730430455

DR. PATTI GAIL HENDERSON (PH.D.) is a healthcare provider. based in Bryan, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 36570 (TX). The NPI Number for DR. PATTI GAIL HENDERSON (PH.D.) is 1730430455

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATTI GAIL HENDERSON (PH.D.)
NPI
1730430455
Phone
(979) 777-7499
Address
8085 ATLAS PEAR DR APT 1218
Enumeration Date
20 September 2012
Last Update Date
8 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9797777499
Graduation Year
2012 (14 years ago)
PAC ID
5294052221
Professional Enrollment ID
I20150331002065
Address ID
TX778404602CO2405XSXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. PATTI GAIL HENDERSON (PH.D.)

  • 8085 ATLAS PEAR DR APT 1218

    BRYAN, TX 778071408

    Phone: (979) 777-7499

    Fax: (979) 691-5755

    Type: Mailing

  • 2405 TEXAS AVE S STE 308

    COLLEGE STATION, TX 778404602

    Phone: (979) 777-7499

    Fax: (979) 691-5755

    Type: Location

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: 2015-03-31

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
I20150331002065IClinical PsychologistTXTBD

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
90837Psychotherapy, 1 hour37418$0
View full utilization report →

Insurance plans in this area (ZIP 77807)

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Reviews

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Frequently asked questions

Is DR. PATTI GAIL HENDERSON (PH.D.) listed with a National Provider Identifier?
Yes — DR. PATTI GAIL HENDERSON (PH.D.) has NPI 1730430455 on file in the registry.
Active or inactive — what applies to DR. PATTI GAIL HENDERSON (PH.D.)?
You should see DR. PATTI GAIL HENDERSON (PH.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. PATTI GAIL HENDERSON (PH.D.)'s focus?
For DR. PATTI GAIL HENDERSON (PH.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. PATTI GAIL HENDERSON (PH.D.) registered?
Use Bryan, Texas as the headline location for DR. PATTI GAIL HENDERSON (PH.D.) here.
Does DR. PATTI GAIL HENDERSON (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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