David Kyle Bond, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY31794 Issued in CA

Practice address

4063 Birch St Ste 220
Newport Beach, CA 92660-2241

Phone

(480) 329-0544

NPI assigned

Apr 27, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shift: a Psychological Corporation

  • Psychologist
  • Newport Beach, CA
  • NPI 1134744147
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1134740509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY # 509",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "480-329-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4063 BIRCH ST STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602241",
            "telephone_number": "480-329-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "DAVID",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY31794",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle@empathclinical.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF files",
            "address_1": "4063 Birch St Ste 220",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926602241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Bolduc, RD
• Susan A Bollinger, DDS
• Cindy Bollman, PH.D.
• Talia Bombola, LMFT
• Monica Bonakdar, MD
• Jeffrey Kitts Bone, PSY.D.
• Sara Maribel Bonilla-Lopez
• Emily Elizabeth Bonilla
• Christina Lynn Bonnafoux
• Morgan Bonner

• Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.