MEDICARE: GAURIE MITTAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist	PSY35530	CA
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1477227437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAURIE MITTAL

Provider Business Mailing Address
First Line	:	2140 SHATTUCK AVE, SUITE 804/805
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-1210
Country	:	US
Telephone Number	:	619-354-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 SHATTUCK AVE, SUITE 804/805
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-1210
Country	:	US
Telephone Number	:	619-354-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2021
Last Update Date	:	04/08/2026

Similar Medicare Providers

1881880557 — MR. JAY ELI WILLIAMS ASW 27280
Practice Location Address:

2140 SHATTUCK AVE , SUITE 711
BERKELEY, CA
94704-1210

Practice Phone: 510-841-1100
Practice Fax: 510-841-1101

1003004169 — DR. SUSAN LEE IVEY MD
Practice Location Address:

2140 SHATTUCK AVE , 10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH
BERKELEY, CA
94704-1210

Practice Phone: 510-643-1883
Practice Fax: 510-643-7976

1609114669 — DR. SIMARJIT SINGH D.D.S.
Practice Location Address:

2140 SHATTUCK AVE
BERKELEY, CA
94704-1210

Practice Phone: 510-843-1192
Practice Fax:

1265816235 — BERKELEY HEALTH ACUPUNCTURE
Practice Location Address:

2140 SHATTUCK AVE , STE 510
BERKELEY, CA
94704-1210

Practice Phone: 415-988-1619
Practice Fax:

1104375583 — ELIZABETH ANNE WRIGHT LMFT
Practice Location Address:

2140 SHATTUCK AVE STE 804805
BERKELEY, CA
94704-1210

Practice Phone: 510-373-2723
Practice Fax:

1326572470 — MS. DEBORAH ALEXANDER HERELD LCSW
Practice Location Address:

2140 SHATTUCK AVE STE 804805
BERKELEY, CA
94704-1210

Practice Phone: 510-214-2020
Practice Fax: 510-214-2020

Directions to “ GAURIE MITTAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.