Active NPI
Bonnie Hall Good, MA MSW LSW
- Psychologist
- Huntington Valley, PA
National Provider Identifier
1083769483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SW010597L
- Practice address
- 67 Buck Road
Suite #115
Huntington Valley, PA 19006 - Phone
- (215) 859-7687
- Fax
- (215) 825-5298
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | SW010597L | PA | Primary |
Addresses
Primary practice location
67 Buck Road
Suite #115
Huntington Valley, PA 19006
Mailing address
1212 Braxton Court
North Wales, PA 19454
Phone (215) 859-7687
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW010597L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083769483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 BRAXTON COURT",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "19454",
"telephone_number": "215-859-7687",
"fax_number": "215-825-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 BUCK ROAD",
"address_2": "SUITE #115",
"city": "HUNTINGTON VALLEY",
"state": "PA",
"postal_code": "19006",
"telephone_number": "215-859-7687",
"fax_number": "215-825-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "BONNIE",
"middle_name": "HALL",
"credential": "MA MSW LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "SW010597L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Valley, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.