DR. TINA MICHELLE BONI (NPI# 1881973170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881973170 |
| Entity Type | Individual |
| Full Name | DR. TINA MICHELLE BONI |
| Credential | M.A., PSY.D. |
| Practice Address |
545 Mainstream Dr Ste 110 Nashville TN 37228-1256 |
| Mailing Address |
2434 Inga St Nashville TN 37206-3314 |
| Practice Telephone | 4129168852 |
| Mailing Telephone | 4129168852 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC0000004430 | TN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3599 | TN | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | BH001420 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440027 | 05 | |
| PA | VALUE BEHAVIORAL HEALTH | 328834A336347 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 157 S Main St, Washington, PA 153014948 | 7242298813 |
| Street Address |
545 MAINSTREAM DR STE 110 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37228-1256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267163 | Kimberly Caroline Wolfe | Marriage & Family Therapist | 545 Mainstream Dr Ste 110, Nashville, TN 37228-1256 | 2018-02-28 |
| 1235650714 | Randal Lee Halstead | Marriage & Family Therapist | 545 Mainstream Dr Ste 110, Nashville, TN 37228-1256 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827783 | Kamilah Marie Williams | Community/Behavioral Health | 2333 Rosa L. Parks Apt 402, Nashville, TN 37228 | 2020-10-06 |
| 1831610856 | Katelyn Nicole Erickson | Registered Nurse | 275 Cumberland Bend, Nashville, Tn 37228, Nashville, TN 37228 | 2017-06-29 |
| 1013460039 | Brianna Velazquez | Counselor | 250 Cumberland Bend, Nashville, TN 37228 | 2016-07-26 |
| 1700284627 | Natalie Allison Rothwell | Social Worker | 257 Cumberland Bend, Nashville, TN 37228 | 2014-12-09 |
| 1689003618 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 230 Cumberland Bnd, Ste 230g, Nashville, TN 37228 | 2013-11-12 |
| 1699111526 | Carmencita Thompson | Pharmacist | 500 Great Circle Rd, Nashville, TN 37228 | 2013-05-19 |
| 1023328739 | Kelly Ann Folk | Case Manager/Care Coordinator | 230 Venture Cirlce, Nashville, TN 37228 | 2010-10-15 |
| 1629383948 | Jennifer Kristine Forgett | Licensed Practical Nurse | 230 Venture Cir., Nashville, TN 37228 | 2010-08-11 |
| 1699895946 | Geraldine Scheller | Social Worker | 275 Cumberland Bend, Nashville, TN 37228 | 2007-03-30 |
| 1821122110 | Rebecca Marie Mccutchan | Social Worker | 230 Venture Circle, Nashville, TN 37228 | 2007-03-16 |
| Find all providers in zip 37228 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665148 | Kathryn Rose Wood | Counselor | 1220 Harwood Dr Apt B, Nashville, TN 37206-1207 | 2020-10-06 |
| 1225643109 | Monica A Purvis Lpc | Counselor | 6243 S Coffee Rd, Nashville, GA 31639-3521 | 2020-09-09 |
| 1891303020 | Kelsey Wonderlin | Counselor | 420b 37th Ave N, Nashville, TN 37209-3730 | 2020-07-14 |
| 1861016370 | Kathryn Warner Silverstein | Counselor | 2212 Grantland Ave, Nashville, TN 37204-2214 | 2020-06-01 |
| 1669006078 | Emily Farnen | Counselor | 2021 21st Ave S Ste 444, Nashville, TN 37212-4357 | 2020-02-24 |
| 1457902678 | Patricia Evelyn Thornton | Counselor | 4219 Hillsboro Rd Ste 214, Nashville, TN 37215-3326 | 2019-09-28 |
| 1326697715 | Angela Gill Thompson | Counselor | 4604 General Lowrey Dr, Nashville, TN 37215-4314 | 2019-09-09 |
| 1083269740 | Thurman E. Webb Jr. | Counselor | 1712 Executive Way, Nashville, TN 37207-1660 | 2019-08-08 |
| 1750935425 | Daryn Lee Thompson | Counselor | 3925 Gallatin Pike, Nashville, TN 37216-2405 | 2019-07-30 |
| 1548728496 | Tiffany Denise Marks | Counselor | 2109 Farley Pl, Nashville, TN 37210-2411 | 2019-03-11 |
| Find all providers in NASHVILLE | ||||
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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.