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KELISHA RAM GARDEEN
NPI 1922959931
Psychologist - Clinical in Berkeley, CA

Active since February 05, 2026PECOS Enrolled
1749 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709(498) 952-8730 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelisha Ram Gardeen NPPES

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

KELISHA RAM GARDEEN (NPI 1922959931) is an individual clinical provider in Berkeley, California, licensed in California (36551) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922959931
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELISHA RAM GARDEEN
Location Address1749 MARTIN LUTHER KING JR WAYBerkeley, CA 94709-2139
Mailing Address550 Fell St Apt 14San Francisco, CA 94102-5033
Phone(498) 952-8730
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1922959931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 36551
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.
1749 MARTIN LUTHER KING JR WAY, Berkeley, CA 94709
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelisha Ram Gardeen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416425459
PECOS Enrollment IDI20260507001633
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94709 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.

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.

DR. HANNAH GAIL BOSLEY PHD
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (903) 780-4316
DANIEL BENNO GOLDSTINE PH.D.
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484
DR. CONNOR J TINDALL PSYD
Psychologist
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 768-8181
ROBERT DS MACKAY M.D.
Psychiatry & Neurology (Psychiatry)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 540-1749
BONNIE KAHANE PHD
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484
DR. RENEE J TALMON M.F.A., PSY.D.
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484
JOSEPH CHERNICK PHD
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484
DR. CLARAMARIE COTTRELL COLLINS PSYD
Psychologist (Clinical)
1749 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94709
Alameda County (510) 841-8484

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 Kelisha Gardeen's NPI number?

The NPI number for Kelisha Gardeen is 1922959931. It was assigned to this individual provider in the NPPES registry on February 5, 2026.

Where is Kelisha Gardeen located?

Kelisha Gardeen practices at 1749 Martin Luther King Jr Way, Berkeley, CA 94709. The listed phone number is (498) 952-8730.

What is Kelisha Gardeen's specialty?

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

Is Kelisha Gardeen enrolled in Medicare?

Yes. Kelisha Gardeen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelisha Gardeen was last updated on February 5, 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.