Elise Maia Bon-Rudin, ED.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

446 Issued in NH

Practice address

82A Ponemah Rd
Amherst, NH 03031-3110

Phone

(603) 880-7777

Fax

(603) 672-0777

NPI assigned

Mar 10, 2007

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1104958610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82A PONEMAH RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030313110",
            "telephone_number": "603-672-0777",
            "fax_number": "603-880-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82A PONEMAH RD",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030313110",
            "telephone_number": "603-880-7777",
            "fax_number": "603-672-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BON-RUDIN",
        "first_name": "ELISE",
        "middle_name": "MAIA",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422613",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AMHERST",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "82A Ponemah Rd",
            "city": "Amherst",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030313110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rishi Manish Bhusari, DMD
• Krystal Blanchard, LMT
• Lauren Elizabeth Blizzard, PT
• Blue Sky Counseling, PLLC
• Alexandra Boise
• Deborah Bonfanti, N.D.
• Meaghan Kathleen Bonin, DPT
• Catherine Anne Booher, MD
• Lynn Borkowski, M.S. CCC-SLP
• Laura Bowen, P.T.

• Mental Health Counselor in Amherst, NH
• Providers in Amherst, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.