Individual provider Active NPI

Henry A Tenenbaum, PH.D., PH.D.

  • Clinical Neuropsychologist
  • Sarasota, FL
National Provider Identifier
1710070032
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY0004871 Issued in FL
Practice address
252 Chartley CT N
Sarasota, FL 34232-1670
Phone
(941) 737-4878
Fax
(941) 342-6277
NPI assigned
Sep 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0004871 FL
Clinical Neuropsychologist 103G00000X PY0004871 FL Primary

Addresses

Primary practice location

252 Chartley CT N
Sarasota, FL 34232-1670

Mailing address

252 Chartley CT N
Sarasota, FL 34232-1670
Phone (941) 737-4878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0004871FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vinod K. Bhatnagar MD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1710070032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CHARTLEY CT N",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321670",
            "telephone_number": "941-737-4878",
            "fax_number": "941-342-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CHARTLEY CT N",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321670",
            "telephone_number": "941-737-4878",
            "fax_number": "941-342-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENENBAUM, PH.D.",
        "first_name": "HENRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0004871",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY0004871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.