Individual provider Active NPI

Brittany Friedrich Gunnison, PSYD

  • Clinical Psychologist
  • Oakland, CA
National Provider Identifier
1215600085
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY30758 Issued in CA
Practice address
465 34TH St Ste 5
Oakland, CA 94609-2815
Phone
(408) 497-2415
NPI assigned
Jul 28, 2021
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 PSY30758 CA Primary

Addresses

Primary practice location

465 34TH St Ste 5
Oakland, CA 94609-2815

Mailing address

2734 Oak Rd Apt 110
Walnut Creek, CA 94597-2827
Phone (408) 497-2415

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
PSY30758CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Path Psychology PC CurrentSince Sep 15, 2024 Accepting new patients

Locations

465 34th St
Ste 5
Oakland, CA 94609
Phone (408) 412-0927

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1215600085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 OAK RD APT 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972827",
            "telephone_number": "408-497-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 34TH ST STE 5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092815",
            "telephone_number": "408-497-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNISON",
        "first_name": "BRITTANY",
        "middle_name": "FRIEDRICH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30758",
            "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 Sep 11, 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.