Healthcare Provider Details

I. General information

NPI: 1831900455
Provider Name (Legal Business Name): ALYSSA BONDI LMFT, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 W WALNUT ST
SOQUEL CA
95073-2446
US

IV. Provider business mailing address

1099 38TH AVE SPC 41
SANTA CRUZ CA
95062-4436
US

V. Phone/Fax

Practice location:
  • Phone: 831-216-6202
  • Fax:
Mailing address:
  • Phone: 831-216-6202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT136881
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: