Organization Active NPI

Bonstar Services LLC

  • Health Service Psychologist
  • Washington, DC
National Provider Identifier
1275243727
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NONEOtherDCNONE

Other names 1

  • Bonstar services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.