MR. TODD NEWELL HENDERSON CCAPP CAADE NAADAC NPI 1437651189

NPI Information

NPI: 1437651189
Provider Name: MR. TODD NEWELL HENDERSON, CCAPP, CAADE, NAADAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2560 PULGAS AVE
EAST PALO ALTO, CA
ZIP 94303
Phone: (650) 325-6466
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MR. Todd Newell Henderson, CCAPP, CAADE, NAADAC is an addiction (substance use disorder) counselor in East Palo Alto, CA. MR. Todd Newell Henderson, CCAPP, CAADE, NAADAC NPI is 1437651189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2560 PULGAS AVE
EAST PALO ALTO, CA
ZIP 94303-323
Phone: (650) 325-6466
Fax: (650) 325-6467

The enumeration date for this NPI number is 3/8/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	10417-R	CALIFORNIA	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	125615	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101YA0400X	OTHER	CALIFORNIA	101YA0400X
2	101YA0400X	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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