GEM PSYCHOTHERAPY INC
NPI 1902588601
Psychologist - Clinical in Berkeley, CA
About Gem Psychotherapy Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEM PSYCHOTHERAPY INC (NPI 1902588601) is a healthcare organization registered as a clinical in Berkeley, California and active in the NPI registry since August 2023. The organization lists Willow Banks, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gem Psychotherapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gem Psychotherapy Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gem Psychotherapy Inc's NPI number?
The NPI number for Gem Psychotherapy Inc is 1902588601. It was assigned to this organization in the NPPES registry on August 2, 2023.
Where is Gem Psychotherapy Inc located?
Gem Psychotherapy Inc is located at 2340 Ward St Ste 201, Berkeley, CA 94705. The listed phone number is (510) 457-1755.
What is Gem Psychotherapy Inc's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Gem Psychotherapy Inc enrolled in Medicare?
Yes. Gem Psychotherapy Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gem Psychotherapy Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Gem Psychotherapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gem Psychotherapy Inc was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Gem Psychotherapy Inc · NPI 1902588601
Clinical organization in Berkeley, California. Organization record, active in the CMS NPPES registry since August 2, 2023.
## Identity
- **NPI:** 1902588601 (Entity type: Organization)
- **Enumerated:** August 2, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Willow Banks, PRESIDENT
## Practice location
- **Address:** 2340 WARD ST STE 201, Berkeley, CA 94705-1147
- **Phone:** (510) 457-1755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1902588601) · Data from the CMS NPPES public registry.