Provider Demographics
NPI:1134284128
Name:BERKELEY PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:BERKELEY PSYCHOLOGICAL SERVICES
Other - Org Name:JUDY LINNAN FAMILY COUNSELING SERVICE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LINNAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD PSYCHOANALYST
Authorized Official - Phone:714-524-0201
Mailing Address - Street 1:101 S KRAEMER BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-6100
Mailing Address - Country:US
Mailing Address - Phone:714-524-0201
Mailing Address - Fax:714-524-0202
Practice Address - Street 1:101 S KRAEMER BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6105
Practice Address - Country:US
Practice Address - Phone:714-524-0201
Practice Address - Fax:714-524-0202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARP 000077103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty