DR. AMELIA GABRIELLE JAYANTY PSYD
NPI 1174990063
Psychologist - Clinical in Oakland, CA

Active since August 26, 2015Opted out of Medicare · through Dec 13, 2027
2940 SUMMIT ST STE 2D, OAKLAND, CA 94609(713) 859-7703 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2024, May 18, 2017 (2 updates tracked since 2017).

About Dr. Amelia Gabrielle Jayanty Psyd NPPES

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

DR. AMELIA GABRIELLE JAYANTY PSYD (NPI 1174990063) is an individual clinical provider in Oakland, California, licensed in California (33674) and active in the NPI registry since August 2015. She has opted out of Medicare through December 13, 2027 and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1174990063
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AMELIA GABRIELLE JAYANTYCredential: PSYD
Location Address2940 SUMMIT ST STE 2DOakland, CA 94609-3416
Mailing Address2940 Summit St Ste 2dOakland, CA 94609-3416 · (713) 859-7703
Sole ProprietorYes
Enumeration DateAugust 26, 2015
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1174990063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 33674
Definition

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.

2940 SUMMIT ST STE 2D, Oakland, CA 94609

Secondary Practice Location 1

Location 11550 Treat AveSan Francisco, CA 94110-5234 · Phone (415) 641-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Amelia Gabrielle Jayanty Psyd 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 December 13, 2023 through December 13, 2027.

Opt-Out Effective DateDecember 13, 2023
Opt-Out In Effect ThroughDecember 13, 2027Opt-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.

Psychiatry & Neurology (Psychiatry)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Health and Wellness Coach
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Counselor (Mental Health)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Marriage & Family Therapist
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Counselor (Mental Health)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Counselor (Mental Health)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Marriage & Family Therapist
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609
Psychologist (Clinical)
2940 SUMMIT ST STE 2D
OAKLAND, CA 94609

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 Amelia Jayanty's NPI number?

The NPI number for Amelia Jayanty is 1174990063. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Where is Amelia Jayanty located?

Amelia Jayanty practices at 2940 Summit St Ste 2D, Oakland, CA 94609. The listed phone number is (713) 859-7703.

What is Amelia Jayanty's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Amelia Jayanty enrolled in Medicare?

No. Amelia Jayanty has opted out of Medicare through December 13, 2027. 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 Amelia Jayanty was last updated on August 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.