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MICHAEL O PENDERGAST RADT
NPI 1689239717
Counselor - Addiction (Substance Use Disorder) in Benicia, CA

Active since May 03, 2019
240 PANORAMA DR, BENICIA, CA 94510(707) 712-6317 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael O Pendergast Radt NPPES

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

MICHAEL O PENDERGAST RADT (NPI 1689239717) is an individual addiction (substance use disorder) provider in Benicia, California, licensed in California (A062410323) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1689239717
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL O PENDERGASTCredential: RADT
Location Address240 PANORAMA DRBenicia, CA 94510-1523
Mailing Address1408 A StAntioch, CA 94509-2331 · (925) 978-2873
Phone(707) 712-6317
Sole ProprietorNo
Enumeration DateMay 3, 2019
Last NPPES UpdateJanuary 10, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1689239717 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
License✔ Licensed in CA · A062410323
240 PANORAMA DR, Benicia, CA 94510
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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 Michael Pendergast's NPI number?

The NPI number for Michael Pendergast is 1689239717. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Michael Pendergast located?

Michael Pendergast practices at 240 Panorama Dr, Benicia, CA 94510. The listed phone number is (707) 712-6317.

What is Michael 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 Michael Pendergast was last updated on January 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.