Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194870949 Individual Practitioner Male Practitioner

Dr. Kelley Bryan Gin , PsyD

Psychologist • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kelley Gin, PsyD is a registered healthcare professional specializing in Psychologist in Berkeley, CA. Practice services are available at 2711 ALCATRAZ AVE STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2711 Alcatraz Ave Ste 2

Berkeley, CA 947052726

Telephone 5102197091
Fax 5102699031
Associated Practice Facility / Clinic
🏢 Kelley Bryan Gin, Psyd Facility NPI 1972072023

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.3 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
122 Specialists

Practicing in Berkeley, CA (7695 Statewide)

Telehealth Adoption Rate
6.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA 20624

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License CA MFC 38529

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License CA PSY 20624

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Practice Locations

3301 E 12th St, Suite 259

Oakland, CA 946013424

Phone: 5102699042

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003239005
Victoria Harris

Social Worker

NPI 1033480264
Enrika Jones

Specialist

NPI 1033544036
Maria Torres De Loera

Rehabilitation Practitioner

NPI 1033885157
David Lee

Counselor - Mental Health

NPI 1043600521
Timothy Clancy

Social Worker - Clinical

NPI 1053854802

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Psychologist (License #PSY 20624 in CA)

NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2018

Registered at 2711 ALCATRAZ AVE STE 2, BERKELEY, CA 947052726 (Tel: 5102197091)

📍
Updated Business Mailing Address February 05, 2018

Registered at 2711 ALCATRAZ AVE STE 2, BERKELEY, CA 947052726 (Tel: 5102197091)

👤
Provider Name / Credentials Updated February 05, 2018

Recorded as KELLEY GIN, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Marriage & Family Therapist (License #MFC 38529 in CA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Psychologist (License #20624 in CA)

NPI Profile Active June 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2010

Registered at 3301 E 12TH ST, SUITE 259, OAKLAND, CA 946013424 (Tel: 5102699042)

📍
Updated Business Mailing Address June 11, 2010

Registered at 3301 E 12TH ST, SUITE 259, OAKLAND, CA 946013424 (Tel: 5102699042)

👤
Provider Name / Credentials Updated June 11, 2010

Recorded as KELLEY GIN, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2010

Psychologist (License #PSY 20624 in CA)

🟢
Initial NPI Registration & Enumeration January 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194870949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2007
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

2711 Alcatraz Ave Ste 2

Berkeley, CA 947052726

Phone: 5102197091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.