Active NPI
Cheryl Bonica, PHD
- Clinical Psychologist
- Springfield, MA
National Provider Identifier
1154522357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8131
- Practice address
- 3300 Main St Ste 4a
Springfield, MA 01199-1000 - Phone
- (413) 794-1038
- Fax
- (413) 794-7416
- NPI assigned
- May 29, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8131 | MA | Primary |
Addresses
Primary practice location
3300 Main St Ste 4a
Springfield, MA 01199-1000
Mailing address
3300 Main St Ste 4a
Springfield, MA 01199-1000
Phone (413) 794-1038
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8131 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1154522357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 MAIN ST STE 4A",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991000",
"telephone_number": "413-794-1038",
"fax_number": "413-794-7416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MAIN ST STE 4A",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991000",
"telephone_number": "413-794-1038",
"fax_number": "413-794-7416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONICA",
"first_name": "CHERYL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.