Individual provider Active NPI

David T Gatta, PSY.D.

  • Psychologist
  • San Francisco, CA
National Provider Identifier
1144885351
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
30885 Issued in CA
Practice address
870 Market St Ste 950
San Francisco, CA 94102-2912
Phone
(510) 269-2128
NPI assigned
May 2, 2019
Last updated
May 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 30885 CA Primary

Addresses

Primary practice location

870 Market St Ste 950
San Francisco, CA 94102-2912

Mailing address

870 Market St Ste 950
San Francisco, CA 94102-2912
Phone (510) 269-2128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30885CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Change Psychotherapy, Inc CurrentSince Feb 13, 2022 Accepting new patients

Locations

5655 College Ave
Ste 316C
Oakland, CA 94618
Phone (510) 269-2128

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1144885351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 950",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022912",
            "telephone_number": "510-269-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 950",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022912",
            "telephone_number": "510-269-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTA",
        "first_name": "DAVID",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "30885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.