Provider Demographics
NPI:1508904665
Name:CORNE, HARTOG, KATZ AND MINSKY
Entity Type:Organization
Organization Name:CORNE, HARTOG, KATZ AND MINSKY
Other - Org Name:BAY AREA BEHAVIORAL HEALTH ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH, MFT
Authorized Official - Phone:510-848-8700
Mailing Address - Street 1:2006 DWIGHT WAY
Mailing Address - Street 2:#101
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2633
Mailing Address - Country:US
Mailing Address - Phone:510-848-8700
Mailing Address - Fax:510-848-8778
Practice Address - Street 1:2006 DWIGHT WAY
Practice Address - Street 2:#101
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2633
Practice Address - Country:US
Practice Address - Phone:510-848-8700
Practice Address - Fax:510-848-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY5981103T00000X
CAMFC18394106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty