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KAYLA BUNDERSON
NPI 1366951386
Psychologist - Clinical in San Diego, CA

Active since September 21, 2017
4640 CASS ST UNIT 90924, SAN DIEGO, CA 92169(360) 531-7121 Get Directions Write a Review

NPPES record last updated: May 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2026, Sep 10, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Kayla Bunderson NPPES

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

KAYLA BUNDERSON (NPI 1366951386) is an individual clinical provider in San Diego, California, licensed in California (33963) and active in the NPI registry since September 2017. She maintains a secondary practice location in Black Diamond.

NPPES Registry Identity

NPI1366951386
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKAYLA BUNDERSON
Location Address4640 CASS ST UNIT 90924San Diego, CA 92169-7118
Mailing Address4640 Cass St Unit 90924San Diego, CA 92169-7118 · (360) 531-7121
Phone(360) 531-7121
Sole ProprietorYes
Enumeration DateSeptember 21, 2017
Last NPPES UpdateMay 24, 20264 updates tracked since enumeration
NPPES CertifiedMay 24, 2026
✔ NPI 1366951386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 33963
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4640 CASS ST UNIT 90924, San Diego, CA 92169
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Secondary Practice Location 1

Location 127531 SE 306th StBlack Diamond, WA 98010-7603 · Phone (360) 531-7121

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARADIGM PSYCHOLOGY, P.C.
Psychologist
4640 CASS ST UNIT 90924
SAN DIEGO, CA 92169
San Diego County (619) 940-4345
SEAN CROTTY
Counselor (Mental Health)
4640 CASS ST UNIT 90924
SAN DIEGO, CA 92169
San Diego County (937) 545-9491

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 Kayla Bunderson's NPI number?

The NPI number for Kayla Bunderson is 1366951386. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Kayla Bunderson located?

Kayla Bunderson practices at 4640 Cass St Unit 90924, San Diego, CA 92169. The listed phone number is (360) 531-7121.

What is Kayla Bunderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kayla Bunderson was last updated on May 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.