MARK W. BONDI, PHD, ABPP-CN, PSYCHOLOGIST, APC
NPI 1285358143
Clinical Neuropsychologist in San Diego, CA

Q: What is Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 03, 2022

12625 HIGH BLUFF DR STE 206, SAN DIEGO, CA 92130(858) 333-4261 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mark W. Bondi, Phd, Abpp-cn, Psychologist, Apc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK W. BONDI, PHD, ABPP-CN, PSYCHOLOGIST, APC (NPI 1285358143), doing business as Beacon Neuropsychology, is a healthcare organization registered as a clinical neuropsychologist in San Diego, California and active in the NPI registry since October 2022. The organization lists Karen Lee Hanson Bondi, Secretary, as its authorized official.

NPPES Registry Identity

NPI1285358143

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameMARK W. BONDI, PHD, ABPP-CN, PSYCHOLOGIST, APC

Location Address12625 HIGH BLUFF DR STE 206San Diego, CA 92130-2053

Mailing Address2240 Encinitas Blvd Ste D192Encinitas, CA 92024-4345 · (858) 333-4261

Phone(858) 333-4261

Organization SubpartNo

Authorized OfficialKaren Lee Hanson BondiSecretary · (858) 333-4261

Enumeration DateOctober 3, 2022

NPPES CertifiedSeptember 30, 2022

✔ NPI 1285358143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

12625 HIGH BLUFF DR STE 206, San Diego, CA 92130

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Other Names 1

Doing Business AsBeacon Neuropsychology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark W. Bondi, Phd, Abpp-cn, Psychologist, Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Karen Hanson Bondi, PH.D.

Clinical Psychologist

NPI 1073815072

12625 HIGH BLUFF DR STE 206
San Diego, CA 92130

(858) 876-5511

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc's NPI number?

The NPI number for Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc is 1285358143. It was assigned to this organization in the NPPES registry on October 3, 2022. The provider is doing business as Beacon Neuropsychology.

Where is Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc located?

Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc is located at 12625 High Bluff Dr Ste 206, San Diego, CA 92130. The listed phone number is (858) 333-4261.

What is Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc enrolled in Medicare?

Yes. Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark W. Bondi, Phd, Abpp-Cn, Psychologist, Apc was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.