Mallory Bonarrigo, LPC, ATR-BC, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3579 Issued in CT

Practice address

168 Chatham Rd
Fairfield, CT 06825-1402

Phone

(608) 669-0421

NPI assigned

Oct 23, 2018

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1770059131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CHATHAM RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251402",
            "telephone_number": "608-669-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CHATHAM RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068251402",
            "telephone_number": "608-669-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONARRIGO",
        "first_name": "MALLORY",
        "name_prefix": "Mrs.",
        "credential": "LPC, ATR-BC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3579",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingri Boe-Wiegaard, L. AC.
• Nicholas S Bogannam, D.C.
• Bojana Jankovic Weatherly MD of New Jersey PC
• John Scott Bomann, D.O.
• Judy Mary Bonadio, LCSW
• Susan R Bonato, OT
• Kathleen R Bonaventura, APRN
• Melissa Bonilla, PHYSICIAN ASSISTANT
• Kaitlyn Boorin
• Shayna Borges, OTR/L

• Professional Counselor in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.