| Mark W. Bondi, Phd, Abpp-cn, Psychologist, Apc | |
|
12625 High Bluff Dr Ste 206 San Diego CA 92130-2053 | |
| (858) 333-4261 | |
| Not Available |
| Full Name | Mark W. Bondi, Phd, Abpp-cn, Psychologist, Apc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 12625 High Bluff Dr Ste 206, San Diego, California |
| Authorized Official Name and Position | Karen Lee Hanson Bondi (SECRETARY) |
| Authorized Official Contact | 8583334261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W. Bondi, Phd, Abpp-cn, Psychologist, Apc 2240 Encinitas Blvd Ste D192 Encinitas CA 92024-4345 Ph: (858) 333-4261 | Mark W. Bondi, Phd, Abpp-cn, Psychologist, Apc 12625 High Bluff Dr Ste 206 San Diego CA 92130-2053 Ph: (858) 333-4261 |
| NPI Number | 1285358143 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 09/30/2022 |
| Medicare PECOS PAC ID | 2769847367 |
|---|---|
| Medicare Enrollment ID | O20230504001118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285358143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Mark W Bondi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922030253 PECOS PAC ID: 8820170335 Enrollment ID: I20080123000364 |
| Provider Name | Karen Hanson Bondi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073815072 PECOS PAC ID: 4688955487 Enrollment ID: I20170110003374 |
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