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Ankhesenamun Ball Marioni, Psy.D

Psychologist in Oakland, CA. Individual provider (NPI-1).

NPI number1760645998
StatusActive
Last updated in NPPESNov 13, 2023

Details

NPI
1760645998
Entity type
Individual (NPI-1)
Name
Ankhesenamun Ball Marioni
Credential
Psy.D
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2008
Certification date
Nov 13, 2023
Last updated
Nov 13, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist24781CAYes
103G00000X Clinical Neuropsychologist––
103TF0200X Psychologist, Forensic––

Other names

  • Ankhesenamun Ball (Professional Name)

Practice location

600 Grand Ave Ste 301
Oakland, CA 94610-3548

Phone 510-269-7607

Mailing address

1918 Bonita Ave # 200
Berkeley, CA 94704-1014

Phone 510-269-7607

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist providers in Oakland, CA

All 272 Psychologist providers in Oakland · All 20,942 providers in Oakland

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