Individual provider · Type 1 NPI

Ellyn Bader, MFT, PhD

Psychologist · Menlo Park, CA

NPI number 1235349895 Active

Practice location

445 Burgess Drive, Suite #150
Menlo Park, CA 94025-3442

Mailing address

445 Burgess Dr, Suite #150
Menlo Park, CA 94025-3442

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY6961 (CA)
Marriage & Family Therapist 106H00000XMFC6591 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1235349895

Ellyn Bader, MFT, PhD's National Provider Identifier is 1235349895, issued on May 23, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Menlo Park, CA. The record was last updated on Sep 11, 2025.