JACQUELINE BONANNO (NPI# 1912924572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912924572 |
| Entity Type | Individual |
| Full Name | JACQUELINE BONANNO |
| Credential | MA |
| Practice Address |
66 Maple Ave Morristown NJ 07960-5250 |
| Practice Telephone | 9735386353 |
| Mailing Telephone | 9735386353 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00047300 | NJ | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
37PC00076300 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124169271 | Jacqueline Bonanno | Dietitian, Registered | 1718 Sylvan Way, #912, Lodi, CA 95242-4318 | 2007-02-10 |
| Street Address |
66 MAPLE AVE |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538600168 | Mary Haroun, LLC | Counselor | 66 Maple Ave, First Floor, Morristown, NJ 07960-5250 | 2017-03-15 |
| 1477961670 | Rupa M. Khetarpal, LLC | Social Worker | 66 Maple Ave, Morristown, NJ 07960-5250 | 2014-07-31 |
| 1972945657 | Nicole J Rafanello Ph.d | Psychologist | 66 Maple Ave, Morristown, NJ 07960-5250 | 2013-07-23 |
| 1841559127 | Rupa M Khetarpal | Social Worker | 66 Maple Ave, Morristown, NJ 07960-5250 | 2012-05-08 |
| 1083868129 | Elizabeth Marie Smith | Psychologist | 66 Maple Ave, Morristown, NJ 07960-5250 | 2008-11-14 |
| 1245496421 | Dev Patwa | Dentist | 66 Maple Ave, Morristown, NJ 07960-5250 | 2008-08-06 |
| 1902092968 | Paige Ellen Oszmanski | Social Worker | 66 Maple Ave, Morristown, NJ 07960-5250 | 2007-09-23 |
| 1487859385 | Mary Ann Therese Gdula | Psychologist | 66 Maple Ave, Morristown, NJ 07960-5250 | 2007-06-19 |
| 1982823530 | Miriam Sherr Wolosh | Psychologist | 66 Maple Ave, Morristown, NJ 07960-5250 | 2007-04-24 |
| 1679625990 | Jeffrey Segal | Psychologist | 66 Maple Ave, Morristown, NJ 07960-5250 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128171 | Jessica Leo | Counselor | 320 South St Apt 10l, Morristown, NJ 07960-6060 | 2020-06-12 |
| 1215274196 | Mary R Haroun | Counselor | 20 Community Place 4th Floor, Morristown, NJ 07960 | 2013-01-11 |
| 1962674663 | Kieran R Ayre | Counselor | 58 Maple Ave Ste 2r, Morristown, NJ 07960-5276 | 2008-04-02 |
| 1588787121 | People Helping People In Need | Counselor | 150 - 152 Speedwell Ave, Morristown, NJ 07960 | 2007-04-09 |
| 1588682439 | New Hope Recovery Center | Counselor | 233 W Main St, Morristown, TN 37814-4630 | 2006-07-18 |
| 1043291412 | Judith Grace Livant | Counselor | 3 Parkview Plaza, Morristown, NJ 07960 | 2005-11-10 |
| 1902898117 | Gregg Benson | Counselor | 20 Community Pl, 4th Floor, Morristown, NJ 07960-7500 | 2005-08-16 |
| 1255938353 | Acenda, Inc. | Counselor | 340 W Hanover Ave, Morristown, NJ 07960-2777 | 2020-10-02 |
| 1225670847 | Nicholas Michael Kampf Iv | Counselor | 340 W Hanover Ave, Morristown, NJ 07960-2777 | 2019-10-15 |
| 1639650591 | Gregory Mitchell Hurd | Counselor | 320 W 3rd North St, Morristown, TN 37814-4038 | 2018-08-28 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on JACQUELINE BONANNO.
| 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.