Individual provider Active NPI

Joshshea L Bonds, MAMFT, LAMFT

  • Marriage & Family Therapist
  • Irvington, NJ
National Provider Identifier
1013663434
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FA00025300 Issued in NJ
Practice address
1108C Stuyvesant Ave Apt C
Irvington, NJ 07111-1012
Phone
(862) 230-3467
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37FA00025300NJMDMarriage & Family Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FA00025300 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

1108C Stuyvesant Ave Apt C
Irvington, NJ 07111-1012

Mailing address

1108C Stuyvesant Ave Apt C
Irvington, NJ 07111-1012
Phone (973) 727-3554

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0450480423MedicaidNJ

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2022.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1013663434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108C STUYVESANT AVE APT C",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111012",
            "telephone_number": "973-727-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108C STUYVESANT AVE APT C",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111012",
            "telephone_number": "862-230-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS",
        "first_name": "JOSHSHEA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MAMFT, LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FA00025300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450480423",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.