Lisa Bonn, MS ATR

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

ATR 90168 Issued in NY

Practice address

2495 Main St
Suite 412
Buffalo, NY 14214-2152

Phone

(716) 862-0367

Fax

(716) 862-0368

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Ishwardas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750592291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WASHINGTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031711",
            "telephone_number": "716-856-4494",
            "fax_number": "716-842-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAIN ST",
            "address_2": "SUITE 412",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142152",
            "telephone_number": "716-862-0367",
            "fax_number": "716-862-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONN",
        "first_name": "LISA",
        "credential": "MS ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "ATR 90168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ISHWARDAS",
            "credential": "MS ATR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jose Luis Bonilla, PHARM.D
• Karla V Bonilla
• Ashlyn Marie Boniszewski, BA
• Katherine Susanne Bonito, PA-C
• Nicole Bonito, CRNA
• Anthony J Bonner, MD
• John Bonnewell, M.D.
• Renee Jeanne Bonney, L.C.S.W
• Kwaku Bonsu
• Gail Lynn Bonus, BA

• Psychoanalyst in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Psychoanalyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.