Individual provider

Elena Henderson, PHD

Clinical Psychologist Medicare enrolled

Elena Henderson, PHD is a Clinical Psychologist in Chicago, IL, registered under NPI 1700570413. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 912 S WOOD ST # 838, Chicago, IL 60612. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

912 S WOOD ST # 838, Chicago, IL 60612 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
071.011031 IL Clinical Psychologist primary
13007086-2501 UT Clinical Psychologist

Licences are recorded in 2 states: IL, UT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Clinical Psychologist
PAC ID
7911354352
Enrollment ID
I20231107002761

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Illinois and Utah. The practice address on file is in Chicago, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois practice address
Licence
071.011031
Specialty
Clinical Psychologist
Verify with the IL board →
UT Utah
Licence
13007086-2501
Specialty
Clinical Psychologist
Verify with the UT board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Clinical covers

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers Psychologist Clinical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical 071.011031 IL primary
103TC0700X Clinical Psychologist Clinical 13007086-2501 UT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1700570413 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 6, 2023
Last updatedOct 30, 2023
StatusActive
Sole proprietorYes
CredentialPHD
Practice address 912 S WOOD ST # 838
Chicago, IL 60612
(312) 413-1567
Mailing address 230 W 1300 S UNIT 10
Salt Lake City, UT 84115
This record was updated on Oct 30, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1700570413 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 0 0 5 7 0 4 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 0 0 1 7 0 4 2

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1700570413?
NPI 1700570413 is the National Provider Identifier assigned to Elena Henderson, PHD in Chicago, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology --…
How do I contact Elena Henderson, PHD?
The phone number on file with NPPES is (312) 413-1567, last updated Oct 30, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Elena Henderson, PHD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1700570413 a valid number?
Yes. 1700570413 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.