Jonina Daum Bolton, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 7398 Issued in FL

Practice address

4300 N University Dr
Suite C-100
Sunrise, FL 33351-6249

Phone

(954) 742-7449

Fax

(954) 742-7169

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003992181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR",
            "address_2": "SUITE C-100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "954-742-7449",
            "fax_number": "954-742-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR",
            "address_2": "SUITE C-100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516249",
            "telephone_number": "954-742-7449",
            "fax_number": "954-742-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "JONINA",
        "middle_name": "DAUM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Boas, PMHNP
• Boca Speech Center
• Neal M. Bodner, MD
• Pamela K. Bodner, MD
• Erika Joy Boehme
• Judith Ann Bona, NNP
• Caroline Elizabeth Bond, OTR, MSC
• Katherine Bonetti
• Kristina Bonfield, SLP
• Marie Antonette Balderama Bongalonta

• Clinical Psychologist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.