Active NPI
Paradigm Psychology, P.C.
- Psychologist
- San Diego, CA
National Provider Identifier
1114702693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PARADIGM PSYCHOLOGY, P.C.
- Practice address
- 4640 Cass St Unit 90924
San Diego, CA 92169-7118 - Phone
- (619) 940-4345
- NPI assigned
- Aug 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayla Bunderson, PSYD
- Title
- PSYD
- Phone
- (619) 940-4345
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4640 Cass St Unit 90924
San Diego, CA 92169-7118
Mailing address
4640 Cass St Unit 90924
San Diego, CA 92169-7118
National Provider Directory
National Provider DirectoryLocations
4640 Cass St
Unit 90924
San Diego, CA 92169
Phone (360) 531-7121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1114702693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4640 CASS ST UNIT 90924",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921697118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 CASS ST UNIT 90924",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921697118",
"telephone_number": "619-940-4345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADIGM PSYCHOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "BUNDERSON",
"authorized_official_first_name": "KAYLA",
"authorized_official_title_or_position": "PSYD",
"authorized_official_telephone_number": "619-940-4345",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.