HEIDI LYNN PENDERGAST
NPI 1356117410
Counselor - Addiction (Substance Use Disorder) in Vallejo, CA

Active since November 29, 2023
1810 SANTA CLARA ST, VALLEJO, CA 94590(925) 430-4414 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heidi Lynn Pendergast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI LYNN PENDERGAST (NPI 1356117410) is an individual addiction (substance use disorder) provider in Vallejo, California and active in the NPI registry since November 2023. She maintains a secondary practice location in Vallejo.

NPPES Registry Identity

NPI1356117410
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameHEIDI LYNN PENDERGAST
Location Address1810 SANTA CLARA STVallejo, CA 94590-3143
Mailing Address1810 Santa Clara StVallejo, CA 94590-3143 · (925) 430-4414
Sole ProprietorYes
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1356117410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1810 SANTA CLARA ST, Vallejo, CA 94590

Secondary Practice Location 1

Location 11810 Santa Clara StVallejo, CA 94590-3143 · Phone (925) 430-4414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Pendergast's NPI number?

The NPI number for Heidi Pendergast is 1356117410. It was assigned to this individual provider in the NPPES registry on November 29, 2023.

Where is Heidi Pendergast located?

Heidi Pendergast practices at 1810 Santa Clara St, Vallejo, CA 94590. The listed phone number is (925) 430-4414.

What is Heidi Pendergast's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Heidi Pendergast was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.