Ellen Therese Dauber, MA MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 7502 Issued in CA

Practice address

4100 Moorpark Ave Ste 116
San Jose, CA 95117-1707

Phone

(405) 354-8176

NPI assigned

May 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699987024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 SAN BENITO AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950304311",
            "telephone_number": "408-354-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MOORPARK AVE STE 116",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171707",
            "telephone_number": "405-354-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUBER",
        "first_name": "ELLEN",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "MA MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 7502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayantika Das
• Rajiv Das, MD
• Sharad Dass, M.D.
• Andrew Dastgah
• Suma Samhitha Datla
• Elizabeth Claudia Dauda
• Grace Sun Daun, NURSE PRACTITIONER
• Patrick J. Dauphin, M.A.
• Daria A Davari
• Deeba Meesha Davari, ASW

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.