Individual provider Active NPI

James Alan Bondell, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1558456046
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 4842 Issued in CA
Practice address
2477 Congress St
San Diego, CA 92110-2820
Phone
(760) 729-4931
Fax
(760) 536-9136
NPI assigned
Oct 3, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 4842 CA Primary

Addresses

Primary practice location

2477 Congress St
San Diego, CA 92110-2820

Mailing address

1673 E Valley Pkwy
PMB#226
Escondido, CA 92027
Phone (760) 729-4931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000693 CA Practitioner - Clinical Psychologist 7416115704 Practice locations: Carlsbad, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Carlsbad, CA 92009
Phone (760) 729-4931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 4842CAMDClinical Psychologist
4842CAMDGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1558456046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 E VALLEY PKWY",
            "address_2": "PMB#226",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92027",
            "telephone_number": "760-729-4931",
            "fax_number": "760-536-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 CONGRESS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102820",
            "telephone_number": "760-729-4931",
            "fax_number": "760-536-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDELL",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 4842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.