Johnny (blaine) Henderson, MD
NPI 1659492627 · Psychiatry Physician · Flagstaff, AZ
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johnny (blaine) Henderson, MD is a Psychiatry Physician provider in Flagstaff, AZ (NPI 1659492627).
Provider details
- NPI number
- 1659492627
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 48599 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2015-12-18
Frequently asked questions
- What is Johnny (blaine) Henderson's NPI number?
- Johnny (blaine) Henderson's National Provider Identifier (NPI) is 1659492627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnny (blaine) Henderson's specialty?
- Johnny (blaine) Henderson is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Johnny (blaine) Henderson located?
- Johnny (blaine) Henderson's practice location on file with NPPES is 1200 N Beaver St, Flagstaff, AZ 86001-3118.
- What is Johnny (blaine) Henderson's phone number?
- The practice phone number listed in the NPPES registry for Johnny (blaine) Henderson is (928) 213-6415.
- Does Johnny (blaine) Henderson accept Medicare?
- Johnny (blaine) Henderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Johnny (blaine) Henderson's NPI active?
- Yes — Johnny (blaine) Henderson's NPI (1659492627) is active in the NPPES registry as of the last update on 2015-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.