Individual provider Active NPI

Gregory LH Gayle, PSY.D., M.ED.

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1194058925
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26970 Issued in CA
Practice address
2940 Summit St Ste 2D
Oakland, CA 94609-3416
Phone
(510) 982-1000
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 26970 CA Primary

Addresses

Primary practice location

2940 Summit St Ste 2D
Oakland, CA 94609-3416

Mailing address

4096 Piedmont Ave # 1000
Oakland, CA 94611-5221
Phone (510) 985-4085

Other practice location 1

5661 Keith Ave Ste 202
Oakland, CA 94618-1815
Phone (510) 982-1000

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)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
26970CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Insights Psychological Group, Inc. Clinical Current Accepting new patients

Locations

5661 Keith Ave
Ste 202
Oakland, CA 94618
Phone (510) 982-1000

2940 Summit St
Ste 2D
Oakland, CA 94609
Phone (510) 408-6532

2940 Summit St
Ste 2C
Oakland, CA 94609
Phone (510) 210-0525

4096 Piedmont Ave
Oakland, CA 94611
Phone (510) 874-1415

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1194058925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 PIEDMONT AVE # 1000",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115221",
            "telephone_number": "510-985-4085",
            "fax_number": "510-225-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST STE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093416",
            "telephone_number": "510-982-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5661 Keith Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946181815",
            "country_code": "US",
            "telephone_number": "510-982-1000",
            "fax_number": "510-210-9310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYLE",
        "first_name": "GREGORY",
        "middle_name": "LH",
        "credential": "PSY.D., M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.