LAUREN BONAVITACOLA (NPI# 1548653587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548653587 |
| Entity Type | Individual |
| Full Name | LAUREN BONAVITACOLA |
| Practice Address |
1 N Broadway Suite 704 White Plains NY 10601-2310 |
| Practice Telephone | 9173851150 |
| Mailing Telephone | 9173851150 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
021710 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
021710 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
021710 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1 N BROADWAY SUITE 704 |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10601-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770120685 | Cognitive and Behavioral Consultants | Psychologist | 1 N Broadway, White Plains, NY 10601-2310 | 2019-12-10 |
| 1881143105 | Amber Nicole Ufford | Psychologist | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2016-09-27 |
| 1922551373 | Magdalena Buczek | Psychologist | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2016-08-02 |
| 1801247408 | Irene Zilber | Psychologist | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2016-06-24 |
| 1467822825 | Jessica Renz | Psychologist | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2015-09-29 |
| 1902289408 | Aviva Katz | Psychologist | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2015-07-01 |
| 1184014037 | Amy Sharon Walker | Psychologist | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2015-01-30 |
| 1811244817 | Jacquelyn Norry Smith | Social Worker | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2012-08-08 |
| 1982983573 | Stephanie Jacobs | Counselor | 1 N Broadway, White Plains, NY 10601-2310 | 2011-08-12 |
| 1548576507 | Courtney Berry | Psychologist | 1 N Broadway, Suite 704, White Plains, NY 10601-2310 | 2010-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089403 | Floras Vision Inc | Eyewear Supplier (Equipment, not the service) | Galleria At White Plains, 100 Main Street, Suite 395, White Plains, NY 10601 | 2019-08-22 |
| 1154988988 | Shemel Jackson | Registered Nurse | Clover Health Services, 75,south Broadway, White Plains, NY 10601 | 2019-05-28 |
| 1720430713 | Gabriel Botero Jr. | Social Worker | White Plains Vet Center, 300 Hamilton Avenue, 1st Floor, Suite C, White Plains, NY 10601 | 2016-07-01 |
| 1538526421 | Edwige Sunshine Lherisson | Registered Nurse | 79 East Post Rd, White Plains, NY 10601 | 2016-01-22 |
| 1174995005 | Dean Dekranis | Social Worker | 33 Barker Avenue 3a, White Plains, NY 10601 | 2015-10-30 |
| 1922482512 | Family Ties of Westchester, Inc. | Community/Behavioral Health | 112 East Post Road, 3rd Floor, White Plains, NY 10601 | 2015-07-14 |
| 1609257955 | Marlissa Fondechene | Chiropractor | 199 Main St Ste 608, White Plains, NY 10601 | 2015-06-12 |
| 1184059933 | Kelly Brooke Graling | Psychologist | 1 N Broadway Ste 704, White Plains, NY 10601 | 2013-09-12 |
| 1750651469 | John A. Coleman School | Local Education Agency (LEA) | 2 Canfield Avenue, Apt #832, White Plains, NY 10601 | 2012-01-11 |
| 1750677118 | Haven Lindsay Caldwell | Internal Medicine | Cancer and Blood Medical Services of Ny, PC, 2-4 Longview Avenue, White Plains, NY 10601 | 2011-06-23 |
| Find all providers in zip 10601 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163707 | Kevin Mckiernan | Psychologist | 333 Westchester Ave Ste Ln02, White Plains, NY 10604-2912 | 2020-08-02 |
| 1457971863 | Samantha Lynne Miller | Psychologist | 34 S Broadway Ste 506, White Plains, NY 10601-4429 | 2020-04-26 |
| 1013561737 | Deborah Matthews | Psychologist | 128 Court St Fl 2, White Plains, NY 10601-4802 | 2019-07-31 |
| 1376010736 | Annette J Rotter | Psychologist | 23 Winslow Rd, White Plains, NY 10606-3521 | 2018-10-24 |
| 1508349564 | Dana Serino | Psychologist | 959 Hartsdale Rd, White Plains, NY 10607-1219 | 2018-09-14 |
| 1073022463 | Samantha Jennie Buchman | Psychologist | 21 Bloomingdale Rd Ofc 206a, White Plains, NY 10605-1504 | 2017-09-28 |
| 1407374093 | Andrea Deutsch | Psychologist | 34 S Broadway Ste 208, White Plains, NY 10601-4431 | 2017-09-02 |
| 1114466869 | Andrea Michelle Williams | Psychologist | 10665 Stanhaven Pl Ste 3119, White Plains, MD 20695-3055 | 2017-02-14 |
| 1023450756 | Mind Dynamics | Psychologist | 34 S Broadway Ste 607, White Plains, NY 10601-4428 | 2013-07-23 |
| 1366779993 | Rebecca Joyce Hale | Psychologist | 297 Knollwood Rd Ste 208, White Plains, NY 10607-1833 | 2009-11-03 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 10601 |
Please comment or provide details below to improve the information on LAUREN BONAVITACOLA.
| 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.