Active NPI
James Alan Bondell, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1558456046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 4842
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 4842 | CA | MD | Clinical Psychologist |
| 4842 | CA | MD | Geropsychiatric 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.