MR. TODD NEWELL HENDERSON (NPI# 1437651189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437651189 |
| Entity Type | Individual |
| Full Name | MR. TODD NEWELL HENDERSON |
| Credential | CCAPP, CAADE, NAADAC |
| Practice Address |
2560 Pulgas Ave East Palo Alto CA 94303-1323 |
| Mailing Address |
631 Woodside Road Redwood City CA 94061 |
| Practice Telephone | 6503256466 |
| Practice Fax Number | 6503256467 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
125615 | CA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10417-R | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 101YA0400X | 101YA0400X | 01 |
| CA | 101YA0400X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801864657 | Todd Russell Henderson | Nurse Anesthetist, Certified Registered | 452 Cheyenne Ct, Kechi, KS 67067-8630 | 2006-03-09 |
| 1710163050 | Todd Marcos Henderson | Internal Medicine | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2008-01-16 |
| 1891774824 | Todd A Henderson | Nurse Anesthetist, Certified Registered | 740 E State St, Sharon, PA 16146-3328 | 2006-01-10 |
| Street Address |
2560 PULGAS AVE |
| City | EAST PALO ALTO |
| State | CA |
| Zip Code | 94303-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902956881 | Alexander Yuryevich Avanesov | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2007-01-11 |
| 1326681321 | Elyse Tierney | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2019-10-22 |
| 1124513296 | Benjamin Wood | Social Worker | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2018-06-29 |
| 1699278374 | Runjhun Nitin Pandit | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2018-03-09 |
| 1134644925 | Natalia Olave | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2017-08-14 |
| 1275058869 | Donald Vernon Dressel | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2017-08-04 |
| 1780134890 | Chad Avalon | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2016-10-12 |
| 1851845317 | Ronica Markoquies Clark | Marriage & Family Therapist | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2016-08-12 |
| 1053760033 | Shelly Colclough | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2016-06-09 |
| 1609252014 | Renee Reyes | Social Worker | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2015-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1528514759 | Healthright360 | Community/Behavioral Health | 2396 University Avenue, East Palo Alto, CA 94303 | 2016-08-28 |
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1083041636 | Malaika House | Substance Abuse Rehabilitation Facility | 819 & 823 Jamie Lane, East Palo Alto, CA 94303 | 2013-09-27 |
| 1184913246 | Naeem Hashmi Medical Corporation | Internal Medicine | 957 Colonial Lane, Palo Alto, CA 94303 | 2011-03-29 |
| 1346550902 | Elizabeth A. Herb, M.d., A Professional Corporation | Clinic/Center | 851 Southampton Dr., Palo Alto, CA 94303 | 2010-10-18 |
| 1083878367 | Achievekids | Health Maintenance Organization | 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 | 2008-07-15 |
| 1528192895 | Susann Elizabeth Amborn | Psychologist | 1020 Corporation Way, Suite 201, Palo Alto, CA 94303 | 2007-03-16 |
| 1356409882 | Steven Richard Sanislo | Ophthalmology | 2452 Watson Court, Palo Alto, CA 94303 | 2006-12-05 |
| Find all providers in zip 94303 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1629419734 | Cassandra Denise Wilson | Counselor | 280 Verbena Dr, East Palo Alto, CA 94303-2522 | 2013-07-17 |
| 1780939215 | Dennis John Robbins | Counselor | 2680 Illinois St, East Palo Alto, CA 94303-1231 | 2012-07-20 |
| 1336463397 | Randolph Chambers | Counselor | 1796 Bay Rd, East Palo Alto, CA 94303-1611 | 2010-03-19 |
| 1902956881 | Alexander Yuryevich Avanesov | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2007-01-11 |
| 1326681321 | Elyse Tierney | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2019-10-22 |
| 1699278374 | Runjhun Nitin Pandit | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2018-03-09 |
| 1710491410 | Eduardo Tirado Garcia | Counselor | 2396 University Avenue, East Palo Alto, CA 94303 | 2017-11-17 |
| 1275058869 | Donald Vernon Dressel | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2017-08-04 |
| 1780134890 | Chad Avalon | Counselor | 2560 Pulgas Ave, East Palo Alto, CA 94303-1323 | 2016-10-12 |
| Find all providers in EAST PALO ALTO | ||||
| City | EAST PALO ALTO |
| Zip Code | 94303 |
Please comment or provide details below to improve the information on MR. TODD NEWELL HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.