Marc Bonaguide LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MARC BONAGUIDE LLC

Practice address

50 Albany Tpke
Canton, CT 06019-2516

Phone

(860) 951-1240

NPI assigned

Jul 13, 2017

Organization subpart

No

Name

Marc Bonaguide, LCSWNPI 1003341272

Title

Manager

Phone

(860) 951-1240

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Bonaguide, LCSW

  • Clinical Social Worker
  • Weatogue, CT
  • NPI 1003341272
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2017.

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1487176145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SUNRISE TER",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALBANY TPKE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192516",
            "telephone_number": "860-951-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC BONAGUIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "BONAGUIDE",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-951-1240",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice M. Limmer, MS
• Sunna Liu
• Jaimie M Machado, FNP-C
• Leanne Fontana Mailman, BCBA
• Demetria Mary Malone, PHARMD
• Cailyn R McDonnell
• Meghan Geary-Strenk, LCSW, LLC
• Simone Hunter Mesa
• Gary Miller, MD
• Mobile Medical

• All providers in Canton, CT
• Adolescent and Children Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.