Healthcare Provider Details

I. General information

NPI: 1831013689
Provider Name (Legal Business Name): RELLY NADLER PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RELDAN S NADLER PSY.D.

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 CAMINO MELENO
SANTA BARBARA CA
93111-1005
US

IV. Provider business mailing address

1170 CAMINO MELENO
SANTA BARBARA CA
93111-1005
US

V. Phone/Fax

Practice location:
  • Phone: 805-455-1722
  • Fax: 805-692-6738
Mailing address:
  • Phone: 805-455-1722
  • Fax: 805-692-6738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number12711
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: