Active NPI
Teresa Susan Gjernes, PSY
- Clinical Psychologist
- Berkeley, CA
National Provider Identifier
1760690507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19467
- Practice address
- 2824 College Ave
Berkeley, CA 94705-2114 - Phone
- (510) 585-6336
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY19467 | CA | Primary |
Addresses
Primary practice location
2824 College Ave
Berkeley, CA 94705-2114
Mailing address
678 Fairview St
Oakland, CA 94609-1014
Phone (510) 585-6336
Other names 1
- Dr. Terese Susan Gjernes
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19467 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769212800000",
"number": "1760690507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "678 FAIRVIEW ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091014",
"telephone_number": "510-585-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2824 COLLEGE AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052114",
"telephone_number": "510-585-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GJERNES",
"first_name": "TERESA",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PSY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2026-01-24",
"certification_date": "2026-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESE",
"last_name": "GJERNES",
"middle_name": "SUSAN",
"prefix": "DR.",
"credential": "PSY 19467",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jan 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.