Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeff Henderson, PHD

Individual provider Counseling Psychologist · NPI 1508964784

Jeff Henderson, PHD is a Clinical Psychologist in Prescott, Arizona. Qualified in 2002, 24 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona and Utah.

Years since qualifying
24
Licensed in
AZ, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1680 W Iron Springs Rd Ste 102
Prescott, AZ 86305-3313
Phone: (928) 458-6634
Fax: (928) 445-2919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 4041 (AZ)
Counseling Psychologist Taxonomy 103TC1900X · Licence 5653842-2501 (UT)

Record details

NPI number1508964784
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESDecember 15, 2019
Certification dateDecember 15, 2019
Mailing addressPo Box 11464, Prescott, AZ 86304-1464

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Prescott