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Stephanie Elaine Hendrix

Physician β€’ Long Beach, CA

Deactivated NPI 1992177687 Deactivated in NPPES Female Practitioner
Practice location in NPPES

1775 Chestnut Ave
Long Beach, CA 908131674

Phone: 5625998444

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of February 10, 2022; the reason is not published. The records below are historical. They do not show whether Stephanie Hendrix currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date October 21, 2015
NPI Deactivation Date February 10, 2022
NPI Active Period 2015 – 2022

Practice Location & Contact Primary Location

Practice Address

1775 Chestnut Ave

Long Beach, CA 908131674

Telephone 5625998444
Fax 5625916134
Organization at the Same NPPES Address or Phone
Behavioral Health Services Inc. Facility NPI 1134259088

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Long Beach and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

License # reported to NPPES CA AII8831214

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Parveen Ahmad

Dietitian, Registered

NPI 1609394980

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated February 10, 2022

NPPES lists this NPI as deactivated as of February 10, 2022; the reason is not published.

βœ…
NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

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Practice Location (Initial Record) October 21, 2015

Registered at 1775 CHESTNUT AVE, LONG BEACH, CA 908131674 (Tel: 5625998444)

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Business Mailing Address (Initial Record) October 21, 2015

Registered at 2687 E 55TH WAY, #9, LONG BEACH, CA 908055057 (Tel: 5625998444)

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Provider Name / Credentials (Initial Record) October 21, 2015

Recorded as STEPHANIE HENDRIX

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Substance Abuse Rehabilitation Facility (license number reported to NPPES: CA AII8831214)

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Initial NPI Registration & Enumeration October 21, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1992177687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2015
Last Update: October 21, 2015
Deactivation Date: February 10, 2022

Mailing Address

2687 E 55th Way, #9

Long Beach, CA 908055057

Phone: 5625998444

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.