Organization Active NPI

Surf Circle Psychology Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berkeley, CA
National Provider Identifier
1619845310
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SURF CIRCLE PSYCHOLOGY CORP
Practice address
2991 Shattuck Ave Ste 203
Berkeley, CA 94705-1871
Phone
(949) 370-4037
NPI assigned
Oct 25, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Kevin S Bunch, PSYDNPI 1588715155
Title
Clinical Psychologist
Phone
(925) 315-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2991 Shattuck Ave Ste 203
Berkeley, CA 94705-1871

Mailing address

2991 Shattuck Ave Ste 203
Berkeley, CA 94705-1871
Phone (949) 370-4037

National Provider Directory

National Provider Directory

Locations

2991 Shattuck Ave
Ste 203
Berkeley, CA 94705
Phone (949) 370-4037

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1619845310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2991 SHATTUCK AVE STE 203",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051871",
            "telephone_number": "949-370-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 SHATTUCK AVE STE 203",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051871",
            "telephone_number": "949-370-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF CIRCLE PSYCHOLOGY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-25",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "925-315-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.