Individual provider Active NPI

Ted C. Bonar, PSYD

  • Psychologist
  • Columbus, OH
National Provider Identifier
1306148945
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6971 Issued in OH
Practice address
1533 Oak St
Columbus, OH 43205-2145
Phone
(773) 426-5147
NPI assigned
Dec 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810008839 VA
Psychologist 103T00000X 6971 OH Primary

Addresses

Primary practice location

1533 Oak St
Columbus, OH 43205-2145

Mailing address

1533 Oak St
Columbus, OH 43205-2145
Phone (773) 426-5147

Other practice location 1

7988 Old Georgetown Rd
Old Georgetown Office Park, 8A
Bethesda, MD 20814-2481
Phone (301) 718-4544

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6971OHMDPsychologist
0810008839VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1306148945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 OAK ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052145",
            "telephone_number": "773-426-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 OAK ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052145",
            "telephone_number": "773-426-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7988 Old Georgetown Rd",
            "address_2": "Old Georgetown Office Park, 8A",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208142481",
            "country_code": "US",
            "telephone_number": "301-718-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONAR",
        "first_name": "TED",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810008839",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.