Individual provider Active NPI

Ernest Bonaparte, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1114193232
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011360 Issued in NY
Practice address
251 E 5TH St
Brooklyn, NY 11218-2403
Phone
(718) 622-1937
Fax
(718) 398-1799
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 011360 NY Primary

Addresses

Primary practice location

251 E 5TH St
Brooklyn, NY 11218-2403

Mailing address

520 E 78TH St
Brooklyn, NY 11236-3121
Phone (917) 755-7394

Other practice location 1

108 Kenilworth Pl
Brooklyn, NY 11210-2439
Phone (917) 755-7394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20031106000145 NY Practitioner - Clinical Psychologist 1355254491 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

251 E 5TH St
Brooklyn, NY 11218-2496
Phone (678) 769-9193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
011360NYMDSurgical Physician Assistant

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1114193232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 78TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363121",
            "telephone_number": "917-755-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182403",
            "telephone_number": "718-622-1937",
            "fax_number": "718-398-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Kenilworth Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112102439",
            "country_code": "US",
            "telephone_number": "917-755-7394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONAPARTE",
        "first_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.