Dynamic Change Psychotherapy, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DYNAMIC CHANGE PSYCHOTHERAPY, INC

Practice address

5655 College Ave Ste 316C
Oakland, CA 94618-1678

Phone

(510) 269-2128

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Trexler Gatta, PSY.D.NPI 1144885351

Title

President

Phone

(510) 269-2128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David T Gatta, PSY.D.

  • Psychologist
  • San Francisco, CA
  • NPI 1144885351
  NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1386398568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 COLLEGE AVE STE 316C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181678",
            "telephone_number": "510-269-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 COLLEGE AVE STE 316C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181678",
            "telephone_number": "510-269-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHANGE PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "GATTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TREXLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-269-2128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth James Dyer, B.A
• Tiffani Dyke
• Jennifer L. Dykes, MD
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• Mysti Amethyst Dyse
• Donald C. Dyson, MD
• Molly Dyson
• Albert J Dytch, MFT

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.