Individual provider Active NPI

Giovanni M. Bonds, PH.D.

  • Clinical Psychologist
  • Dayton, OH
National Provider Identifier
1538164256
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3055 Issued in OH
Practice address
109 White Allen Ave
Dayton, OH 45405-4932
Phone
(937) 277-7962
Fax
(937) 277-6067
NPI assigned
Jun 17, 2005
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3055 OH Primary

Addresses

Primary practice location

109 White Allen Ave
Dayton, OH 45405-4932

Mailing address

529 W Grand Ave
Dayton, OH 45405-4408
Phone (937) 277-7962

Other identifiers 1

IdentifierTypeStateIssuer
0474526MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120529000428 OH Practitioner - Clinical Psychologist 6002079126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 White Allen Ave
Dayton, OH 45405-4932
Phone (937) 277-7962

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3055OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bonds, Mathis and Associates Inc Clinical CurrentSince Jul 1, 1990 Accepting new patients

Locations

109 White Allen Ave
Dayton, OH 45405
Phone (937) 277-7962

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1538164256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054408",
            "telephone_number": "937-277-7962",
            "fax_number": "937-277-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WHITE ALLEN AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054932",
            "telephone_number": "937-277-7962",
            "fax_number": "937-277-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS",
        "first_name": "GIOVANNI",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.