Active NPI
Arlene Bonapace
- Clinical Psychologist
- Somerset, NJ
National Provider Identifier
1205033560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00312000
- Legal business name
- ARLENE BONAPACE
- Practice address
- 764 Easton Ave
Suite 2
Somerset, NJ 08873-1856 - Phone
- (732) 418-1122
- Fax
- (732) 937-8081
- NPI assigned
- Jun 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arlene Bonapace, PSYD
- Title
- Clinical Psychologist
- Phone
- (732) 418-1122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00312000 | NJ | Primary |
Addresses
Primary practice location
764 Easton Ave
Suite 2
Somerset, NJ 08873-1856
Mailing address
764 Easton Ave
Suite 2
Somerset, NJ 08873-1856
Phone (732) 418-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619002094 | Other | NJ | INDIVIDUAL NPI # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
764 Easton Ave
Ste 2
Somerset, NJ 08873
Phone (732) 339-9886
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Somerset, NJ
- NPI 1619002094
-
- Psychiatry Physician
- Somerset, NJ
- NPI 1457405979
-
- Psychiatry Physician
- Somerset, NJ
- NPI 1760447197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1205033560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 EASTON AVE",
"address_2": "SUITE 2",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731856",
"telephone_number": "732-418-1122",
"fax_number": "732-937-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 EASTON AVE",
"address_2": "SUITE 2",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731856",
"telephone_number": "732-418-1122",
"fax_number": "732-937-8081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARLENE BONAPACE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-29",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "BONAPACE",
"authorized_official_first_name": "ARLENE",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "732-418-1122",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00312000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI #",
"identifier": "1619002094",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.