Berkeley Therapy Institute - Medicare Mental Health Clinic in Berkeley, CA

Berkeley Therapy Institute is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Berkeley, California. The current practice location for Berkeley Therapy Institute is 1749 Martin Luther King Jr Way, Berkeley, California. For appointments, you can reach them via phone at (510) 841-8484. The mailing address for Berkeley Therapy Institute is 1749 Martin Luther King Jr Way, Berkeley, California and phone number is (510) 841-8484.

Berkeley Therapy Institute is licensed to practice in California (license number 140000012). The clinic also participates in the medicare program and its NPI number is 1255497814. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (510) 841-8484.

Contact Information

Berkeley Therapy Institute
1749 Martin Luther King Jr Way
Berkeley
CA 94709-2139
(510) 841-8484
(510) 540-1707

Map and Direction


Mental Health Clinic Profile

Full NameBerkeley Therapy Institute
SpecialityPsychiatry & Neurology
Location1749 Martin Luther King Jr Way, Berkeley, California
Authorized Official Name and PositionNaomi Hartwig (BUSINESS MANAGER)
Authorized Official Contact5108418484
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Berkeley Therapy Institute
1749 Martin Luther King Jr Way
Berkeley
CA 94709-2139

Ph: (510) 841-8484
Berkeley Therapy Institute
1749 Martin Luther King Jr Way
Berkeley
CA 94709-2139

Ph: (510) 841-8484

NPI Details:

NPI Number1255497814
Provider Enumeration Date12/28/2006
Last Update Date01/30/2013

Medicare PECOS Information:

Medicare PECOS PAC ID2264414283
Medicare Enrollment IDO20040603000801

Medical Identifiers

Medical identifiers for Berkeley Therapy Institute such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255497814NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 140000012 (California)Secondary
106H00000XMarriage & Family Therapist 140000012 (California)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 140000012 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Berkeley Therapy Institute acts as a billing entity for following providers:
Provider NameRobert K Dolgoff
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659437291
PECOS PAC ID: 8123915956
Enrollment ID: I20060403000663
Provider NameDaniel B Goldstine
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033275664
PECOS PAC ID: 8820196157
Enrollment ID: I20070608000589
Provider NameRichard A Levine
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235283755
PECOS PAC ID: 3678655420
Enrollment ID: I20080131000694
Provider NameBonnie Kahane
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1104963255
PECOS PAC ID: 1759443682
Enrollment ID: I20081230000604
Provider NameClaramarie Collins
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1215197918
PECOS PAC ID: 1759434483
Enrollment ID: I20090728000895
Provider NameHilary Brady Goldstine
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1902951932
PECOS PAC ID: 5193851301
Enrollment ID: I20100326000709
Provider NameThomas R Jones
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871645846
PECOS PAC ID: 7618151952
Enrollment ID: I20110411000289
Provider NameCatharine E Kibira
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1083781439
PECOS PAC ID: 2062660756
Enrollment ID: I20120921000580
Provider NameCris Bissonnette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619216009
PECOS PAC ID: 1759526627
Enrollment ID: I20200721002523
Provider NameCharlene Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871181180
PECOS PAC ID: 5890183818
Enrollment ID: I20211025002228
Provider NameKalia Marie Rothlind
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801412507
PECOS PAC ID: 4880081702
Enrollment ID: I20220425000689
Provider NameHannah Gail Bosley
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1023733565
PECOS PAC ID: 0941672067
Enrollment ID: I20230217001006
Provider NameJennifer Casper
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1710303102
PECOS PAC ID: 6204298904
Enrollment ID: I20230811002251
Provider NameDallas J Mark
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1689955569
PECOS PAC ID: 2961854294
Enrollment ID: I20240122004619
Provider NameJeffrey Sundberg
Provider TypePractitioner - Other (non-physician)
Provider IdentifiersNPI Number: 1013222678
PECOS PAC ID: 8325481708
Enrollment ID: I20240213002876
Provider NameConnor J Tindall
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033697156
PECOS PAC ID: 7618311028
Enrollment ID: I20240213004286

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.