NPIMap

Organization Active NPI

Abridged Psychology, PLLC

  • Cognitive & Behavioral Psychologist
  • Garden City, NY
National Provider Identifier
1316482961
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
011068 Issued in NY
Legal business name
ABRIDGED PSYCHOLOGY, PLLC
Practice address
647 Franklin Ave
Suite: LL4
Garden City, NY 11530-5746
Phone
(516) 798-4070
NPI assigned
Jan 5, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Laura Bonomo, PH.D.NPI 1851478903
Title
Psychologist/Owner
Phone
(516) 798-4070

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 007280 NY
Cognitive & Behavioral Psychologist 103TB0200X 021509 NY
Cognitive & Behavioral Psychologist 103TB0200X 011068 NY Primary
Clinical Psychologist 103TC0700X 016588 NY
Social Worker 104100000X 090586 NY

Addresses

Primary practice location

647 Franklin Ave
Suite: LL4
Garden City, NY 11530-5746

Mailing address

205 Mineola Blvd
Apt. 4F
Mineola, NY 11501-2550
Phone (516) 698-8178

National Provider Directory

National Provider Directory

Locations

647 Franklin Ave
Ste LL4
Garden City, NY 11530
Phone (516) 798-4070

Practitioners & affiliated clinicians

Practitioners 6

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": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1316482961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MINEOLA BLVD",
            "address_2": "APT. 4F",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012550",
            "telephone_number": "516-698-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 FRANKLIN AVE",
            "address_2": "SUITE: LL4",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305746",
            "telephone_number": "516-798-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRIDGED PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "BONOMO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "516-798-4070",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007280",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "021509",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "011068",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016588",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.