Keyondria Davonne Bunch, ED.M., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24464 Issued in CA

Practice address

20151 Nordhoff St
Chatsworth, CA 91311-6215

Phone

(323) 304-0573

NPI assigned

Mar 21, 2007

Last updated

Jun 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1275659294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20151 NORDHOFF ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116215",
            "telephone_number": "323-304-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20151 NORDHOFF ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116215",
            "telephone_number": "323-304-0573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13130 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914016037",
            "country_code": "US",
            "telephone_number": "818-623-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "KEYONDRIA",
        "middle_name": "DAVONNE",
        "name_prefix": "Dr.",
        "credential": "ED.M., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24464",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa L Brooks
• Carroll Joseph Brown III, PSY.D
• Tatyana Brustinov, O.T.
• Erica Buchanan
• Sandra Mabel Buenrrostro, REGISTERED NURSE
• Breanne Jennifer Burleigh, BA
• Zeenat K. Burse, LMFT
• C.P.C.H. Inc. (Chatsworth Park Health Care Center)
• Elizabeth Cabadas
• California Chiropractic, Inc

• Clinical Psychologist in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.