Individual provider Active NPI

Marc Bono, PSY.D

  • Addiction (Substance Use Disorder) Psychologist
  • Branford, CT
National Provider Identifier
1386072270
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
002824 Issued in CT
Practice address
765 E Main St
Branford, CT 06405-2922
Phone
(203) 464-1001
NPI assigned
Oct 31, 2013
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 002824 CT Primary

Addresses

Primary practice location

765 E Main St
Branford, CT 06405-2922

Mailing address

765 E Main St
Branford, CT 06405-2922
Phone (203) 464-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170522000338 CT Practitioner - Clinical Psychologist 4486921509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

420 E Main St
Suite 13
Branford, CT 06405-2942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dayna Leigh Giordano Arici, Aprn, FNP C LLC CurrentSince Mar 2, 2022 Accepting new patients

Locations

420 E Main St
Ste 13
Branford, CT 06405
Phone (203) 481-5556

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1386072270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 E MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052922",
            "telephone_number": "203-464-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 E MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052922",
            "telephone_number": "203-464-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "002824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.