Bonsall Manfredi & Assoc, P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD036799E Issued in PA

Legal business name

BONSALL MANFREDI & ASSOC, P.C.

Practice address

2600 Woodlawn Street
Harrisburg, PA 17111

Phone

(717) 221-0711

Fax

(717) 221-0435

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Eric K. Bonsall, M.D.

Title

Board Certified Child/Adolescent PS

Phone

(717) 221-0711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1083983019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A MELRON COURT",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "17013",
            "telephone_number": "717-221-0711",
            "fax_number": "717-221-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WOODLAWN STREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17111",
            "telephone_number": "717-221-0711",
            "fax_number": "717-221-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSALL MANFREDI & ASSOC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "BONSALL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "BOARD CERTIFIED CHILD/ADOLESCENT PS",
        "authorized_official_telephone_number": "717-221-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD036799E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1210002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Mercedes Bond
• Inna Bondira, DO
• Virginia Bonifant
• Marc M Bonin, DO
• Amy Jeanne Bonneau, M.D.
• Sowmya Boora, MD
• Justin J Bordell, MPT
• Megan Joann Borror, MD
• Shaun Bortel, DMD
• Christopher Bortz, M.ED

• Psychiatry Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.