Individual provider Active NPI

Adi R Kondonijakos, PPS, MS

  • School Psychologist
  • Oakley, CA
National Provider Identifier
1457970584
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
91 Mercedes LN
Oakley, CA 94561-4617
Phone
(925) 625-0700
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Primary

Addresses

Primary practice location

91 Mercedes LN
Oakley, CA 94561-4617

Mailing address

2355 Parish Dr
Walnut Creek, CA 94598-1525
Phone (925) 588-5725

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akondonijakos@ouesd.k12.ca.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Oakley Union Elementary School District PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1457970584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 PARISH DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981525",
            "telephone_number": "925-588-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MERCEDES LN",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945614617",
            "telephone_number": "925-625-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDONIJAKOS",
        "first_name": "ADI",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PPS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akondonijakos@ouesd.k12.ca.us",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "address_1": "91 Mercedes Ln",
            "city": "Oakley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945614617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.