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KELLEY BRYAN GIN, PSYD
NPI 1972072023
Psychologist - Clinical in Berkeley, CA

Active since November 19, 2018
2711 ALCATRAZ AVE STE 2, BERKELEY, CA 94705(510) 219-7091 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Bryan Gin, Psyd NPPES

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

KELLEY BRYAN GIN, PSYD (NPI 1972072023) is a healthcare organization registered as a clinical in Berkeley, California and active in the NPI registry since November 2018. The organization lists Kelley Gin, Owner, as its authorized official.

NPPES Registry Identity

NPI1972072023
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKELLEY BRYAN GIN, PSYD
Location Address2711 ALCATRAZ AVE STE 2Berkeley, CA 94705-2726
Mailing Address2711 Alcatraz Ave Ste 2Berkeley, CA 94705-2726 · (510) 219-7091
Phone(510) 219-7091
Organization SubpartNo
Authorized OfficialKelley GinOwner · (510) 219-7091
Enumeration DateNovember 19, 2018
✔ NPI 1972072023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
2711 ALCATRAZ AVE STE 2, Berkeley, CA 94705
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. KELLEY BRYAN GIN PSYD
Psychologist
2711 ALCATRAZ AVE STE 2
BERKELEY, CA 94705
Alameda County (510) 219-7091
DR. CHRISTINE GUTERMAN PH.D.
Psychologist
2711 ALCATRAZ AVE STE 2
BERKELEY, CA 94705
Alameda County (925) 212-7089

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 Kelley Bryan Gin, Psyd's NPI number?

The NPI number for Kelley Bryan Gin, Psyd is 1972072023. It was assigned to this organization in the NPPES registry on November 19, 2018.

Where is Kelley Bryan Gin, Psyd located?

Kelley Bryan Gin, Psyd is located at 2711 Alcatraz Ave Ste 2, Berkeley, CA 94705. The listed phone number is (510) 219-7091.

What is Kelley Bryan Gin, Psyd's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelley Bryan Gin, Psyd was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.