Bonnie Deroo, AMFT, APCC, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

6046 Cornerstone CT W Ste 113
San Diego, CA 92121-4733

Phone

(858) 453-4315

NPI assigned

Sep 5, 2021

Last updated

Sep 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Bonnie Deroo Marriage and Family Therapy Corporation

  • Marriage & Family Therapist
  • Encinitas, CA
  • NPI 1841064722
  Medicare reassignment NPD Authorized official
• Farkas & Saalinger Psychology Corp

  dba Lasting Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
  • NPI 1326108507
  NPD (past)

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1598433369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910825",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921910825",
            "telephone_number": "858-769-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6046 CORNERSTONE CT W STE 113",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214733",
            "telephone_number": "858-453-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROO",
        "first_name": "BONNIE",
        "name_prefix": "Dr.",
        "credential": "AMFT, APCC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Surgical and Medical, Apc
• Barbara Dernbach
• Harry F Derochemont
• Nicole Breann Deroco
• Savannah Deroma, LMFT
• Daniel B. Deroo, M.D.
• Arianna Derosa
• Colleen Derosa
• Leda Derose
• David Paul Derosier, D.D.S.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.