Kayla Bunderson

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33963 Issued in CA

Practice address

4640 Cass St Unit 90924
San Diego, CA 92169-7118

Phone

(360) 531-7121

NPI assigned

Sep 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Paradigm Psychology, P.C.

  • Psychologist
  • San Diego, CA
  • NPI 1114702693

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1366951386",
    "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",
            "telephone_number": "360-531-7121"
        },
        {
            "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": "360-531-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27531 SE 306th St",
            "address_purpose": "LOCATION",
            "city": "Black Diamond",
            "state": "WA",
            "postal_code": "980107603",
            "country_code": "US",
            "telephone_number": "360-531-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUNDERSON",
        "first_name": "KAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Bumanlag
• Charnise Bumpus, B.A.
• Freddie Bunch, LPT
• Alyssa Bundang
• Warner P Bundens, M.D.
• Grace Bundy
• Kathleen Carmela Bundy, R.D.
• Kelsi Maree Bungert
• Jared Brent Bunker, DMD
• Sierra Bunker

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2026; 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.