Active NPI
Amy Mary Gentile, PH.D.
- Psychologist
- Oakland, CA
National Provider Identifier
1962508283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY#11424
- Practice address
- 5835 College Ave
Oakland, CA 94618-1653 - Phone
- (510) 654-5146
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY#11424 | CA | Primary |
Addresses
Primary practice location
5835 College Ave
Oakland, CA 94618-1653
Mailing address
5835 College Ave
Oakland, CA 94618-1653
Phone (510) 654-5146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201015000385 | CA | Practitioner - Psychologist Billing Independently | 4981888021 | Practice locations: Oakland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4279 Atlas Ave
Oakland, CA 94619-1631
5835 College Ave
Oakland, CA 94618-1653
Phone (510) 654-5146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11424 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY#11424 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962508283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5835 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181653",
"telephone_number": "510-654-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181653",
"telephone_number": "510-654-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "AMY",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY#11424",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.