Active NPI
Bonita Emes Carine, PH.D.
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1770632549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6154
- Practice address
- James a. Haley Veterans' Hospital
13000 Bruce B. Downs Blvd.
Tampa, FL 33612 - Phone
- (813) 972-2000
- Fax
- (813) 972-7673
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY6154 | FL | Primary |
Addresses
Primary practice location
James a. Haley Veterans' Hospital
13000 Bruce B. Downs Blvd.
Tampa, FL 33612
Mailing address
James a. Haley Veterans' Hospital
13000 Bruce B. Downs Blvd.
Tampa, FL 33612
Phone (813) 972-2000
Other names 1
- Dr. Bonita Susan Carine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6154 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychological Services of Palm Harbor Inc | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychologist
- Palm Harbor, FL
- NPI 1639203763
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233964800000",
"number": "1770632549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JAMES A. HALEY VETERANS' HOSPITAL",
"address_2": "13000 BRUCE B. DOWNS BLVD.",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-972-2000",
"fax_number": "813-972-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JAMES A. HALEY VETERANS' HOSPITAL",
"address_2": "13000 BRUCE B. DOWNS BLVD.",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-972-2000",
"fax_number": "813-972-7673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARINE",
"first_name": "BONITA",
"middle_name": "EMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2009-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BONITA",
"last_name": "CARINE",
"middle_name": "SUSAN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.