Individual provider Active NPI

Virginia Lee Bonnefil, PHD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1396728374
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24256 Issued in TX
Practice address
8213 Fredericksburg Rd
Seville Office Park
San Antonio, TX 78229-3355
Phone
(210) 614-8001
Fax
(210) 615-1767
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 24256 TX Primary

Addresses

Primary practice location

8213 Fredericksburg Rd
Seville Office Park
San Antonio, TX 78229-3355

Mailing address

8213 Fredericksburg Rd
Seville Office Park
San Antonio, TX 78229-3355
Phone (210) 614-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090313000032 TX Practitioner - Clinical Psychologist 9931277183 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11122 Wurzbach Rd
Suite 104
San Antonio, TX 78230-2574
Phone (210) 614-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
24256TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diana R. Galvan, PLLC Past Accepting new patients
Milton Alvis, MD, PA Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396728374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8213 FREDERICKSBURG RD",
            "address_2": "SEVILLE OFFICE PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293355",
            "telephone_number": "210-614-8001",
            "fax_number": "210-615-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8213 FREDERICKSBURG RD",
            "address_2": "SEVILLE OFFICE PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293355",
            "telephone_number": "210-614-8001",
            "fax_number": "210-615-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEFIL",
        "first_name": "VIRGINIA",
        "middle_name": "LEE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.