Melissa Bonasera, MD, LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

045981 Issued in CT

Legal business name

MELISSA BONASERA, MD, LLC

Practice address

103 S Main St
Newtown, CT 06470-2372

Phone

(203) 364-0660

NPI assigned

Oct 29, 2009

Organization subpart

No

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

Authorized official

Name

Melissa Bonasera

Title

Manager

Phone

(203) 364-0660

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1528394376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064700322",
            "telephone_number": "203-364-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702372",
            "telephone_number": "203-364-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA BONASERA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "BONASERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-364-0660"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "045981",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "045981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Lorene McCarthy, LCSW
• McGlynn Eye Care LLC
• Theresa Marie McMorrow, L.C.S.W.
• Bernadette T McSweeney, LCSW
• Medical Solutions Laboratory LLC
• Shayla Alara Mena, MD
• Meridian Psychotherapy Associates of Connecticut LLC
• Michael Z Fein DPM PC
• Felicia Michael, LPCA
• Karin Michels-Ashwood, MD

• Child & Adolescent Psychiatry Physician in Newtown, CT
• Providers in Newtown, CT by specialty
• Child & Adolescent Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.