Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Scott Gordon , PsyD

Psychologist β€’ Berkeley, CA

Active NPI 1447020243 Individual Practitioner Male Practitioner
Practice location in NPPES

2915 Martin Luther King Jr Way
Berkeley, CA 947032133

Call 5104859655 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2915 Martin Luther King Jr Way

Berkeley, CA 947032133

Telephone 5104859655
Organization at the Same NPPES Address or Phone
Lara Benefield, Lmft Facility NPI 1386261436

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Berkeley and California

118 active clinicians are listed under Psychologist with a practice address in Berkeley, CA (7,305 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Berkeley

6.8% of these 118 clinicians have the CMS telehealth indicator.

16.1% of these 118 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-24
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES CA PSY36173

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ”„
NPI Profile Reactivated October 24, 2025

Record officially reactivated for active practice on October 24, 2025

πŸ“
Updated Practice Location October 24, 2025

Registered at 2915 MARTIN LUTHER KING JR WAY, BERKELEY, CA 947032133 (Tel: 5104859655)

πŸ“
Updated Business Mailing Address October 24, 2025

Registered at 1442A WALNUT ST # 326, BERKELEY, CA 947091405 (Tel: 5104859655)

πŸ‘€
Provider Name / Credentials Updated October 24, 2025

Recorded as SCOTT GORDON, PSYD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2025

Psychologist (license number reported to NPPES: CA PSY36173)

⚠️
NPI Profile Deactivated January 09, 2024

NPPES lists this NPI as deactivated as of January 09, 2024; the reason is not published.

βœ…
NPI Profile Active January 03, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 03, 2024

Registered at 2475 WASHINGTON ST STE 3, SAN FRANCISCO, CA 941151816 (Tel: 5104859655)

πŸ“
Business Mailing Address (Initial Record) January 03, 2024

Registered at 2475 WASHINGTON ST STE 3, SAN FRANCISCO, CA 941151816 (Tel: 5104859655)

πŸ‘€
Provider Name / Credentials (Initial Record) January 03, 2024

Recorded as SCOTT GORDON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2024

Psychologist (license number reported to NPPES: CA PSB94027444)

🟒
Initial NPI Registration & Enumeration January 03, 2024

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1447020243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2024
Last Update: October 24, 2025
Sole Proprietor: Yes

Other Psychologists in Berkeley

All Psychologists in Berkeley

Mailing Address

1442a Walnut St # 326

Berkeley, CA 947091405

Phone: 5104859655

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.