Organization Active NPI

Joseph Bono, PH.D., P.C.

  • Clinical Psychologist
  • Brighton, MI
National Provider Identifier
1396875332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301002625 Issued in MI
Legal business name
JOSEPH BONO, PH.D., P.C.
Practice address
600 E Grand River Ave
Suite 5
Brighton, MI 48116-1983
Phone
(810) 220-5076
Fax
(810) 220-5130
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Bono, PH.D.
Title
President
Phone
(810) 220-5076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301002625 MI Primary

Addresses

Primary practice location

600 E Grand River Ave
Suite 5
Brighton, MI 48116-1983

Mailing address

600 E. Grand River
Suite 5
Brighton, MA 48116-1983
Phone (810) 220-5076

National Provider Directory

National Provider Directory

Locations

715 E Grand River Ave
Ste 110
Brighton, MI 48116
Phone (810) 220-5076

600 E Grand River Ave
Ste 5
Brighton, MI 48116
Phone (810) 220-5076

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396875332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E. GRAND RIVER",
            "address_2": "SUITE 5",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "481161983",
            "telephone_number": "810-220-5076",
            "fax_number": "810-220-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GRAND RIVER AVE",
            "address_2": "SUITE 5",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161983",
            "telephone_number": "810-220-5076",
            "fax_number": "810-220-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BONO, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-220-5076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.