Arlene Bonapace, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00312000 Issued in NJ

Practice address

764 Easton Ave
Suite 2
Somerset, NJ 08873-1856

Phone

(732) 418-1122

Fax

(732) 937-8081

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Arlene Bonapace

  • Clinical Psychologist
  • Somerset, NJ
  • NPI 1205033560
  Medicare reassignment NPD Authorized official
• Mari Dipasquale, DO LLC

  • Psychiatry Physician
  • Somerset, NJ
  • NPI 1134333933
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1619002094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 EASTON AVE",
            "address_2": "SUITE 2",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731856",
            "telephone_number": "732-418-1122",
            "fax_number": "732-937-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 EASTON AVE",
            "address_2": "SUITE 2",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731856",
            "telephone_number": "732-418-1122",
            "fax_number": "732-937-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAPACE",
        "first_name": "ARLENE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00312000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1205033560",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blossom Behavioral Services
• Jean Philippe Bocage, MD
• Erin Nicole Boccher, ATC
• Suni Bolar, DDS
• Elizabeth Ann Bolton, MS
• Carmen Yolanda Bonta, DMD
• Rebecca Bortman, BCBA
• Bradley J Phillips MD LLC
• Deepa Brahmabhatt, PHARMD
• Dolphus Brantley III

• Clinical Psychologist in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.