Individual provider Active NPI

Gina Murrell, PSYD

  • Clinical Psychologist
  • Berkeley, CA
National Provider Identifier
1780817296
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22140 Issued in CA
Practice address
925 The Alameda
Ste 14
Berkeley, CA 94707-2310
Phone
(510) 205-3711
NPI assigned
Aug 31, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 PSY22140 CA Primary

Addresses

Primary practice location

925 The Alameda
Ste 14
Berkeley, CA 94707-2310

Mailing address

925 The Alameda
Ste 14
Berkeley, CA 94707-2310

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
I20121205000395 CA Practitioner - Clinical Psychologist 6103961032 Practice locations: Berkeley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

925 The Alameda
Suite 14
Berkeley, CA 94707-2310
Phone (510) 205-3711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY22140CAMDClinical Psychologist
22140CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Diablo Memory Center, a Psychological Corporation CurrentSince Jan 10, 2012 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

1940 Tice Valley Blvd
Ste C
Walnut Creek, CA 94595
Phone (925) 988-0569

1910 Olympic Blvd
Ste 220
Walnut Creek, CA 94596
Phone (925) 283-3073

Organizations & group practices 2

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": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1780817296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 THE ALAMEDA",
            "address_2": "STE 14",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 THE ALAMEDA",
            "address_2": "STE 14",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072310",
            "telephone_number": "510-205-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRELL",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.