Individual provider Active NPI

Stacy Elizabeth Bonds, PHD

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1912555087
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31084 Issued in CA
Practice address
374 N Coast Highway 101
Encinitas, CA 92024-2542
Phone
(858) 367-7274
NPI assigned
Aug 30, 2019
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 PSY31084 CA Primary

Addresses

Primary practice location

374 N Coast Highway 101
Encinitas, CA 92024-2542

Mailing address

2041 East St Ste 1241
Concord, CA 94520-2126
Phone (858) 208-0380

Other practice location 1

84 W Santa Clara St Ste 700
San Jose, CA 95113-1809
Phone (858) 208-0380

Other practice location 2

1990 N California Blvd Ste 800
Walnut Creek, CA 94596-7261
Phone (858) 208-0380

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
I20231016003118 CA Practitioner - Clinical Psychologist 5193170934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY31084CAMDClinical Psychologist
31084CAMDPharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1912555087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 EAST ST STE 1241",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202126",
            "telephone_number": "858-208-0380",
            "fax_number": "833-643-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N COAST HIGHWAY 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242542",
            "telephone_number": "858-367-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 W Santa Clara St Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131809",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "fax_number": "833-643-0973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 N California Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945967261",
            "country_code": "US",
            "telephone_number": "858-208-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONDS",
        "first_name": "STACY",
        "middle_name": "ELIZABETH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.