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

Johnny (Blaine) Henderson, MD

Individual provider Psychiatry Physician · NPI 1659492627

Johnny (Blaine) Henderson, MD is a Psychiatry in Flagstaff, Arizona. Graduated from Texas Tech University Health Science Center School of Medicine in 2005, 21 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
21
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 213-6415
Fax: (928) 213-6409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 48599 (AZ)

Record details

NPI number1659492627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESDecember 18, 2015

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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