NPIMap

Organization Active NPI

Bondanza Psychological Services

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1336672872
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005348 Issued in VA
Legal business name
BONDANZA PSYCHOLOGICAL SERVICES
Practice address
2000 15TH St N
Suite 200
Arlington, VA 22201-2683
Phone
(347) 301-4399
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Allison Bondanza, PHD
Title
Clinical Psychologist
Phone
(347) 301-4399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810005348 VA Primary

Addresses

Primary practice location

2000 15TH St N
Suite 200
Arlington, VA 22201-2683

Mailing address

605 N Irving St
Apt 31
Arlington, VA 22201-2046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1336672872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N IRVING ST",
            "address_2": "APT 31",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012683",
            "telephone_number": "347-301-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONDANZA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "BONDANZA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-301-4399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.