Active NPI
Bonstar Services LLC
- Health Service Psychologist
- Washington, DC
National Provider Identifier
1275243727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- Legal business name
- BONSTAR SERVICES LLC
- Practice address
- 1629 K St NW Ste 300
Washington, DC 20006-1631 - Phone
- (240) 705-2473
- NPI assigned
- Nov 23, 2022
- Last updated
- Nov 23, 2022
- 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
- Bonaventure Asongache, BA
- Title
- Ceo
- Phone
- (240) 705-0592
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | NU | Primary |
Addresses
Primary practice location
1629 K St NW Ste 300
Washington, DC 20006-1631
Mailing address
10908 Atwell Ave
Bowie, MD 20720-3598
Phone (240) 705-0592
Other practice location 1
1629 K St NW Ste 3001629K
Washington, DC 20006-1602
Phone (240) 705-2473
Other practice location 2
1629 K St NW Ste 3001629K
Washington, DC 20006-1602
Phone (240) 705-2473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | DC | NONE |
Other names 1
- Bonstar services LLC
National Provider Directory
National Provider DirectoryLocations
1629 K St NW
Ste 3001629K
Washington, DC 20006
Phone (240) 705-2473
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
- NPI 1235834250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669161600000",
"number": "1275243727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10908 ATWELL AVE",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203598",
"telephone_number": "240-705-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061631",
"telephone_number": "240-705-2473"
}
],
"practiceLocations": [
{
"address_1": "1629 K St NW Ste 3001629K",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200061602",
"country_code": "US",
"telephone_number": "240-705-2473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1629 K St NW Ste 3001629K",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200061602",
"country_code": "US",
"telephone_number": "240-705-2473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BONSTAR SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-23",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A",
"authorized_official_last_name": "ASONGACHE",
"authorized_official_first_name": "BONAVENTURE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-705-0592",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bonstar services LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.