DR. STACEY RHODES BONA PSY.D
NPI 1376680892
Psychologist - Clinical in Woodland Hills, CA

Active since February 01, 2007Opted out of Medicare · through Jan 15, 2028
22020 CLARENDON ST STE 208, WOODLAND HILLS, CA 91367(747) 288-8505 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2023, Jun 29, 2021, Apr 27, 2019 (3 updates tracked since 2019).

About Dr. Stacey Rhodes Bona Psy.d NPPES

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

DR. STACEY RHODES BONA PSY.D (NPI 1376680892) is an individual clinical provider in Woodland Hills, California, licensed in California (PSY18832) and active in the NPI registry since February 2007. She has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1376680892
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STACEY RHODES BONACredential: PSY.D
Location Address22020 CLARENDON ST STE 208Woodland Hills, CA 91367-6322
Mailing Address6442 Platt Ave # 1507West Hills, CA 91307-3216 · (747) 288-8505
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedNovember 27, 2023
NPI 1376680892 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 · PSY18832
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.
22020 CLARENDON ST STE 208, Woodland Hills, CA 91367

Other Names 1

Former Name (1)Dr. Stacey Rhodes Bricklin Psy.d

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Stacey Rhodes Bona Psy.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2020 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2020
Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Marriage & Family Therapist
22020 CLARENDON ST STE 208
WOODLAND HILLS, CA 91367
Community/Behavioral Health
22020 CLARENDON ST STE 208
WOODLAND HILLS, CA 91367
Marriage & Family Therapist
22020 CLARENDON ST STE 208
WOODLAND HILLS, CA 91367
Marriage & Family Therapist
22020 CLARENDON ST STE 208
WOODLAND HILLS, CA 91367
Marriage & Family Therapist
22020 CLARENDON ST STE 208
WOODLAND HILLS, CA 91367
Community/Behavioral Health
22020 CLARENDON ST STE 208
WOODLAND HILLS, CA 91367
Marriage & Family Therapist
22020 CLARENDON ST STE 208
WOODLAND HILLS, CA 91367
Psychologist (Clinical)
22020 CLARENDON ST STE 208
WOODLAND HILLS, CA 91367

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 Stacey Bona's NPI number?

The NPI number for Stacey Bona is 1376680892. It was assigned to this individual provider in the NPPES registry on February 1, 2007. The provider is also known as Dr. Stacey Rhodes Bricklin Psy.D.

Where is Stacey Bona located?

Stacey Bona practices at 22020 Clarendon St Ste 208, Woodland Hills, CA 91367. The listed phone number is (747) 288-8505.

What is Stacey Bona's specialty?

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

Is Stacey Bona enrolled in Medicare?

No. Stacey Bona has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacey Bona was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.