Bonilla Behavioral Health, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BONILLA BEHAVIORAL HEALTH, PLLC

Practice address

7247 Dazzle Point St
North Las Vegas, NV 89084-4745

Phone

(323) 875-4843

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Leah Bonilla, PHD, LLPNPI 1346881232

Title

Owner, Founder

Phone

(323) 875-4843

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Bonilla, PHD, LLP

  • Psychologist
  • Troy, MI
  • NPI 1346881232
  NPD (past) Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1295554210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7247 DAZZLE POINT ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7247 DAZZLE POINT ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844745",
            "telephone_number": "323-875-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONILLA BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER, FOUNDER",
        "authorized_official_telephone_number": "323-875-4843",
        "authorized_official_credential": "PHD, LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksandra Nikolayevna Boltunova
• Shana Bomberger, M.D.
• Amanda Renee Bond
• Joel Bonet Calistre
• Neil Albert Dizon Bongolan, PT, DPT
• Barbara Andrea Bonilla
• Bridget Bonilla
• Kenia Bonilla
• Heather Bonin, RDN, LD
• Anilyn Bonina, APRN

• Psychologist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.