Active NPI
Audra Ballard
- Psychologist
- Berkeley, CA
National Provider Identifier
1891533238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 94029383
- Practice address
- 1760 Solano Ave Ste 206
Berkeley, CA 94707-2218 - Phone
- (800) 624-6190
- NPI assigned
- Jul 18, 2024
- Last updated
- Aug 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 94029383 | CA | Primary |
Addresses
Primary practice location
1760 Solano Ave Ste 206
Berkeley, CA 94707-2218
Mailing address
1917 Kinross Way
San Jose, CA 95122-2943
Phone (214) 797-7064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Being, a Psychological Corporation | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1891533238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 KINROSS WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951222943",
"telephone_number": "214-797-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 SOLANO AVE STE 206",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947072218",
"telephone_number": "800-624-6190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "AUDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "94029383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.