Individual provider Active NPI

Ari Brownstone, PSYD

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1205634425
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY35738 Issued in CA
Practice address
1749 Martin Luther King Jr Way Apt B
Berkeley, CA 94709-2139
Phone
(650) 703-1853
NPI assigned
Mar 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 PSY35738 CA Primary

Addresses

Primary practice location

1749 Martin Luther King Jr Way Apt B
Berkeley, CA 94709-2139

Mailing address

2140 Stuart St Apt B
Berkeley, CA 94705-1060
Phone (650) 703-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506001797 CA Practitioner - Clinical Psychologist 7810414661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Berkeley Therapy InstituteGroup PAC ID 2264414283, 13 clinicians

Practice addresses (Care Compare)

1749 Martin Luther King Jr Way
Berkeley, CA 94709-2139
Phone 51084184841130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY35738CAMDClinical Psychologist
35738CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Therapy Institute Clinical CurrentSince Feb 27, 2025 Accepting new patients

Locations

1749 Martin Luther King Jr Way
Berkeley, CA 94709
Phone (510) 540-1746

1749 Martin Luther King Jr Way
Apt B
Berkeley, CA 94709
Phone (650) 703-1853

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1205634425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 STUART ST APT B",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051060",
            "telephone_number": "650-703-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 MARTIN LUTHER KING JR WAY APT B",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947092139",
            "telephone_number": "650-703-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNSTONE",
        "first_name": "ARI",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.