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GEM PSYCHOTHERAPY INC NPI 1902588601


NPI Information

NPI: 1902588601
Provider Name: GEM PSYCHOTHERAPY INC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2340 WARD ST STE 201
BERKELEY, CA
ZIP 94705
Phone: (510) 457-1755
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GEM PSYCHOTHERAPY INC is a clinical psychologist in Berkeley, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. GEM PSYCHOTHERAPY INC NPI is 1902588601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2340 WARD ST STE 201
BERKELEY, CA
ZIP 94705-147
Phone: (510) 457-1755

The provider's authorized official is Willow Banks .
The authorized official title is President and has the following contact phone number (510) 457-1755.

The enumeration date for this NPI number is 8/2/2023 and was last updated on 9/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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