DR. GABRIELLE ELIZA ANDERSON PH.D.
NPI 1306085493
Psychologist in Berkeley, CA

Active since February 12, 2009Opted out of Medicare · through Mar 20, 2028
3010 COLBY ST STE 212, BERKELEY, CA 94705(917) 239-1081(510) 495-1126 Get Directions Write a Review

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

About Dr. Gabrielle Eliza Anderson Ph.d. NPPES

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

DR. GABRIELLE ELIZA ANDERSON PH.D. (NPI 1306085493) is an individual psychologist in Berkeley, California, licensed in California (PSY25456) and active in the NPI registry since February 2009. She has opted out of Medicare through March 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306085493
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. GABRIELLE ELIZA ANDERSONCredential: PH.D.
Location Address3010 COLBY ST STE 212Berkeley, CA 94705-2059
Mailing Address3010 Colby St Ste 212Berkeley, CA 94705-2059 · (917) 239-1081 · Fax (510) 495-1126
Fax(510) 495-1126
Sole ProprietorNo
Enumeration DateFebruary 12, 2009
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
NPI 1306085493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in CA · PSY25456 Licensed in NY · 017003-1
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 017003-1 (NY), PSY25456 (CA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY25456 (CA), 017003-1 (NY)
3010 COLBY ST STE 212, Berkeley, CA 94705

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. Gabrielle Eliza Anderson Ph.d. 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 March 20, 2026 through March 20, 2028.

Opt-Out Effective DateMarch 20, 2026
Opt-Out In Effect ThroughMarch 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
3010 COLBY ST STE 212
BERKELEY, CA 94705
Emergency Medicine
3010 COLBY ST STE 212
BERKELEY, CA 94705
Psychiatry & Neurology (Psychiatry)
3010 COLBY ST STE 212
BERKELEY, CA 94705

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 Gabrielle Anderson's NPI number?

The NPI number for Gabrielle Anderson is 1306085493. It was assigned to this individual provider in the NPPES registry on February 12, 2009.

Where is Gabrielle Anderson located?

Gabrielle Anderson practices at 3010 Colby St Ste 212, Berkeley, CA 94705. The listed phone number is (917) 239-1081.

What is Gabrielle Anderson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Gabrielle Anderson enrolled in Medicare?

No. Gabrielle Anderson has opted out of Medicare through March 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gabrielle Anderson was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.