KATHLEEN ANN BONAL PHD
NPI 1407913072
Psychologist in San Jose, CA

Active since January 03, 2007Opted out of Medicare · through Jan 1, 2028
5755 COTTLE RD, BLDG 4 KAISER PERMANENTE ADULT PSYCHIATRY, SAN JOSE, CA 95123(408) 972-3095 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Ann Bonal Phd NPPES

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

KATHLEEN ANN BONAL PHD (NPI 1407913072) is an individual psychologist in San Jose, California, licensed in California (PSY16899) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1407913072
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHLEEN ANN BONALCredential: PHD
Location Address5755 COTTLE RD, BLDG 4 KAISER PERMANENTE ADULT PSYCHIATRYSan Jose, CA 95123-3640
Mailing Address5755 Cottle Rd, Building 4, Kaiser Permanente Adult PsychiatrySan Jose, CA 95123-3640
Sole ProprietorNo
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJanuary 3, 2022
NPI 1407913072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY16899
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5755 COTTLE RD, San Jose, CA 95123

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kathleen Ann Bonal Phd 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Medical Genetics (Clinical Cytogenetics)
5755 COTTLE RD, BUILDING 2 GENETICS
SAN JOSE, CA 95123
Psychologist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Marriage & Family Therapist
5755 COTTLE RD, BUILDING 4
SAN JOSE, CA 95123
Counselor (Mental Health)
5755 COTTLE RD
SAN JOSE, CA 95123
Social Worker (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Psychologist (Clinical)
5755 COTTLE RD
SAN JOSE, CA 95123
Genetic Counselor, MS
5755 COTTLE RD, BUILDING 1
SAN JOSE, CA 95123

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 Kathleen Bonal's NPI number?

The NPI number for Kathleen Bonal is 1407913072. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Kathleen Bonal located?

Kathleen Bonal practices at 5755 Cottle Rd Bldg 4 Kaiser Permanente Adult Psychiatry, San Jose, CA 95123. The listed phone number is (408) 972-3095.

What is Kathleen Bonal's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kathleen Bonal enrolled in Medicare?

No. Kathleen Bonal has opted out of Medicare through January 1, 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 Kathleen Bonal was last updated on January 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.