Gem Psychotherapy Inc
NPI 1902588601ActiveOrganization· Psychologist, Clinical· Berkeley, CA
Psychologist, Clinical in Berkeley, California, registered in NPPES in August 2023. The authorized official on file is Willow Banks, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902588601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2023 |
| Last updated in NPPES | Sep 14, 2023 |
| Certified by provider | Sep 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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