ADELINE BORTZ
NPI 1467222307
Psychologist - Clinical Child & Adolescent in Menlo Park, CA

Active since January 02, 2024Opted out of Medicare · through Jan 2, 2028
845 EL CAMINO REAL, MENLO PARK, CA 94025(650) 762-8352 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adeline Bortz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADELINE BORTZ (NPI 1467222307) is an individual clinical child & adolescent provider in Menlo Park, California, licensed in California (34667) and active in the NPI registry since January 2024. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1467222307
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameADELINE BORTZ
Location Address845 EL CAMINO REALMenlo Park, CA 94025-4807
Mailing Address1405 El Camino Real Apt 314Redwood City, CA 94063-2644 · (970) 531-4991
Sole ProprietorNo
Enumeration DateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
NPI 1467222307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in CA · 34667
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

845 EL CAMINO REAL, Menlo Park, CA 94025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Adeline Bortz has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Cognitive & Behavioral)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adeline Bortz's NPI number?

The NPI number for Adeline Bortz is 1467222307. It was assigned to this individual provider in the NPPES registry on January 2, 2024.

Where is Adeline Bortz located?

Adeline Bortz practices at 845 El Camino Real, Menlo Park, CA 94025. The listed phone number is (650) 762-8352.

What is Adeline Bortz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Adeline Bortz enrolled in Medicare?

No. Adeline Bortz has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Adeline Bortz was last updated on January 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.