Silvia Gorla, PHD

Individual provider Active NPI Clinical Psychologist · Berkeley, CA

NPI 1962563494 · NPPES record last updated Feb 15, 2017

Key facts

NPI
1962563494
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PSY19500 (CA)
Practice address
2127 Ashby Ave
Berkeley, CA 94705-1884
Phone
(510) 406-5124
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY19500CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashby Psychotherapy Associates Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19500 CA Yes

Addresses

Primary practice location

2127 Ashby Ave
Berkeley, CA 94705-1884

Mailing address

2127 Ashby Ave
Berkeley, CA 94705-1884
Phone (510) 406-5124

Other providers in Berkeley, CA

All providers in Berkeley, CA · Clinical Psychologist in California

Sources for this page

Verify at the official NPI Registry.