Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bonanno, Anderson & Marcin, Prof Corp

Organization Clinical Psychologist · NPI 1982550950

Bonanno, Anderson & Marcin, Prof Corp is a Clinical Psychologist in Berkeley, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
6
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3010 Colby St Ste 212
Berkeley, CA 94705-2059
Phone: (650) 417-3637
Fax: (618) 464-1208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Psychosomatic Medicine Physician Taxonomy 2084P0015X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1982550950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Bonanno — Cfo / Treasurer · (201) 960-3200
NPI enumeratedMarch 10, 2026
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address2108 N St Ste N, Sacramento, CA 95816-5712

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