Thomas O. Bonner, PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY2826 Issued in FL

Legal business name

THOMAS O. BONNER, PH.D., P.A.

Practice address

9480 SW 77TH Ave
Miami, FL 33156-7903

Phone

(305) 595-1616

Fax

(305) 595-7272

NPI assigned

Apr 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas O. Bonner, PH.D.NPI 1194043471

Title

President

Phone

(305) 595-1616

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Thomas O. Bonner, PH.D.

  • Clinical Psychologist
  • Miami, FL
  • NPI 1194043471
  Authorized official Same address or phone

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487873451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 SW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567903",
            "telephone_number": "305-595-1616",
            "fax_number": "305-595-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 SW 77TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567903",
            "telephone_number": "305-595-1616",
            "fax_number": "305-595-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS O. BONNER, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-595-1616",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Typhany E Thomas Rolle
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• Annamma Udaya Thomas, ARNP
• Antonia Patricia Thomas, OTR/L, BCBA

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• 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.