THOMAS O. BONNER, PH.D., P.A. (NPI# 1487873451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487873451 |
Entity Type | Organization |
Organization Name | THOMAS O. BONNER, PH.D., P.A. |
Practice Address |
9480 Sw 77th Ave Miami FL 33156-7903 |
Practice Telephone | 3055951616 |
Practice Fax Number | 3055957272 |
Mailing Telephone | 3055951616 |
Mailing Fax Number | 3055957272 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THOMAS O. BONNER (PRESIDENT) |
Authorized Official Telephone | 3055951616 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY2826 | FL | Behavioral Health & Social Service Providers |
Street Address |
9480 SW 77TH AVE |
City | MIAMI |
State | FL |
Zip Code | 33156-7903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548489503 | Juan Rene Geada, M.d. P.a. | Psychiatry & Neurology | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2007-04-25 |
1720496391 | Miriam Menendez | Social Worker | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2014-07-28 |
1184057341 | Miami Diagnostic & Psychiatric Center | Point of Service | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2013-08-12 |
1871891960 | Danielle D. Malluche | Psychologist | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2011-03-14 |
1194043471 | Thomas O. Bonner | Psychologist | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2010-05-11 |
1609024611 | Ana Eriksen | Psychiatry & Neurology | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2008-09-03 |
1417105438 | Teresa Carreno | Psychiatry & Neurology | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2008-09-03 |
1649428657 | Juan Rene Geada | Psychiatry & Neurology | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2008-09-03 |
1972714319 | Julio Gonzalez Calderon | Psychiatry & Neurology | 9480 Sw 77th Ave, 203, Miami, FL 33156-7903 | 2007-05-25 |
1417177312 | Teresa Carreno, M.d., P.a. | Psychiatry & Neurology | 9480 Sw 77th Ave, Miami, FL 33156-7903 | 2007-04-26 |
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1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1770125247 | Edgar N. Arbaje | Psychologist | 6561 Sw 32nd St, Miami, FL 33155-3949 | 2019-10-16 |
1023573789 | Michelle Marie Rodriguez Diaz | Psychologist | 1120 Nw 14th St Ste 1477a, Miami, FL 33136-2107 | 2019-02-07 |
1356818686 | Ivelisse Marie Barreiro Rosado | Psychologist | 540 Brickell Key Dr Apt 1528, Miami, FL 33131-3535 | 2018-10-24 |
1407342249 | Bridget Catherine Gamber Davidson | Psychologist | 1601 Nw 12th Ave # 4046, Miami, FL 33136-1005 | 2018-07-05 |
1366936619 | Diane Lynn Hoffer | Psychologist | 4750 Sw 82nd St, Miami, FL 33143-8602 | 2018-06-20 |
1831681253 | Tali Yuz Berliner | Psychologist | 2225 Ne 204th St, Miami, FL 33180-1311 | 2018-06-01 |
1033614441 | Miriam J Rodriguez, LLC | Psychologist | 2730 Sw 3rd Ave Ste 301, Miami, FL 33129-2323 | 2018-03-27 |
1629596739 | Urbanpromise Miami | Psychologist | 677 Sw 1st St, Second Floor, Miami, FL 33130 | 2017-09-08 |
1144747791 | Katalina Fernandez Mcinerney | Psychologist | 1150 Nw 14th St Ste 604, Miami, FL 33136-2117 | 2017-08-24 |
1477093888 | Dr. Mayra Burguera, Psy.d., P.a. | Psychologist | 1110 Brickell Ave Ste 407, Miami, FL 33131 | 2017-03-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.