GAURIE MITTAL
NPI 1477227437
Psychologist - Clinical in Berkeley, CA

Active since August 04, 2021Opted out of Medicare · through Jun 30, 2028
2140 SHATTUCK AVE, SUITE 804/805, BERKELEY, CA 94704(619) 354-7400 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2026, Jan 7, 2025, Aug 4, 2021 (3 updates tracked since 2021).

About Gaurie Mittal NPPES

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

GAURIE MITTAL (NPI 1477227437) is an individual clinical provider in Berkeley, California, licensed in California (PSY35530) and active in the NPI registry since August 2021. She has opted out of Medicare through June 30, 2028.

NPPES Registry Identity

NPI1477227437
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameGAURIE MITTAL
Location Address2140 SHATTUCK AVE, SUITE 804/805Berkeley, CA 94704-1210
Mailing Address2140 Shattuck Ave, Suite 804/805Berkeley, CA 94704-1210 · (619) 354-7400
Sole ProprietorNo
Enumeration DateAugust 4, 2021
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1477227437 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 · PSY35530
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
2140 SHATTUCK AVE, SUITE 804/805, Berkeley, CA 94704

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Gaurie Mittal 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 June 30, 2026 through June 30, 2028.

Opt-Out Effective DateJune 30, 2026
Opt-Out In Effect ThroughJune 30, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gaurie Mittal's NPI number?

The NPI number for Gaurie Mittal is 1477227437. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Gaurie Mittal located?

Gaurie Mittal practices at 2140 Shattuck Ave, Suite 804/805, Berkeley, CA 94704. The listed phone number is (619) 354-7400.

What is Gaurie Mittal's specialty?

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

Is Gaurie Mittal enrolled in Medicare?

No. Gaurie Mittal has opted out of Medicare through June 30, 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 Gaurie Mittal was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.