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ELYSE HENDERSON
NPI 1841623212
Student in an Organized Health Care Education/Training Program in Fairfield, CA

Active since August 20, 2013
470 CHADBOURNE RD STE E, FAIRFIELD, CA 94534(707) 425-9670 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elyse Henderson NPPES

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

ELYSE HENDERSON (NPI 1841623212) is an individual student in an organized health care education/training program in Fairfield, California, licensed in California (D8527565) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1841623212
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELYSE HENDERSON
Location Address470 CHADBOURNE RD STE EFairfield, CA 94534-9620
Mailing Address1403 Humbolt DrSuisun City, CA 94585-3052 · (707) 631-3562
Phone(707) 425-9670
Sole ProprietorNo
Enumeration DateAugust 20, 2013
✔ NPI 1841623212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · D8527565
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
470 CHADBOURNE RD STE E, Fairfield, CA 94534
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOFIA PALMA
Social Worker (Clinical)
470 CHADBOURNE RD STE E
FAIRFIELD, CA 94534
Solano County (707) 425-9670
KATHERINE ANN KIMSEY PSYCHOLOGIST
Psychologist (Counseling)
470 CHADBOURNE RD STE E
FAIRFIELD, CA 94534
Solano County (707) 425-9670
EDGAR HERNANDEZ MSW, MPH
Counselor
470 CHADBOURNE RD STE E
FAIRFIELD, CA 94534
Solano County (707) 425-9670
MISS LAURA MONICA CACHO MENDOZA
Counselor
470 CHADBOURNE RD STE E
FAIRFIELD, CA 94534
Solano County (707) 425-9670
KARI ANNE CORDERO
Nurse Practitioner (Psychiatric/Mental Health)
470 CHADBOURNE RD STE E
FAIRFIELD, CA 94534
Solano County (707) 425-9670

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 Elyse Henderson's NPI number?

The NPI number for Elyse Henderson is 1841623212. It was assigned to this individual provider in the NPPES registry on August 20, 2013.

Where is Elyse Henderson located?

Elyse Henderson practices at 470 Chadbourne Rd Ste E, Fairfield, CA 94534. The listed phone number is (707) 425-9670.

What is Elyse Henderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elyse Henderson was last updated on August 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.