Provider Demographics
NPI:1770192452
Name:BEING, A PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:BEING, A PSYCHOLOGICAL CORPORATION
Other - Org Name:A. BALL PSYD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANKHESENAMUN
Authorized Official - Middle Name:BALL
Authorized Official - Last Name:MARIONI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:510-269-7607
Mailing Address - Street 1:2999 REGENT ST STE 300A
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2149
Mailing Address - Country:US
Mailing Address - Phone:510-269-7607
Mailing Address - Fax:510-295-2782
Practice Address - Street 1:2999 REGENT ST STE 300A
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2149
Practice Address - Country:US
Practice Address - Phone:510-269-7607
Practice Address - Fax:510-295-2782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty