DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRENDAN TODD ELLIS, MFT

Active Sole Proprietor

MR. BRENDAN TODD ELLIS, MFT is a Marriage & Family Therapist healthcare provider located in SAN JOSE, California. NPI 1568918258 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SAN JOSE, CA

Registration Details

NPI Number
1568918258
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2016 (9.8084062493771 yrs)
Last Updated
Jan 14, 2019
Licenses
PCCI 619 (CA)
102547 (CA)
Sole Proprietor
Yes

Practice Information

Address
4950 HAMILTON AVE
SUITE 102
SAN JOSE, CA, 951301750
Browse CA providers · Browse ZIP 95130
Phone
4086237055
Fax
4083502015
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in SAN JOSE, CA

Name Credential NPI
ANN MCDONALD RICE MFT 1629066063
KRIS BAXTER MFT 1962476952
MS. MELISSA ELIZABETH MILLER M.A. 1770558744
ANNA FERNANDEZ LMFT 1205887965
SCOTT ARENDT MFT 1821040023
SUSAN KNUDSEN MFTI 1235183583
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.