Dr Marcela a Bonafina-Caraccioli Psychologist PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0160781 Issued in NY

Legal business name

DR MARCELA A BONAFINA-CARACCIOLI PSYCHOLOGIST PC

Practice address

2109 Broadway
Suite 520
New York, NY 10023

Phone

(212) 579-7272

Fax

(212) 579-2851

NPI assigned

Aug 8, 2006

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcela Andrea Bonafina-Caraccioli, PHD

Title

President of PC

Phone

(212) 579-7272

Specialties & licenses 2

Addresses

Other names 1

• Marcela A Bonafina-Caraccioli PhD Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcela A. Bonafina, PH.D

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1174782379

  Clinical Neuropsychologist

  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1831109503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 BROADWAY",
            "address_2": "SUITE 520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-579-7272",
            "fax_number": "212-579-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 BROADWAY",
            "address_2": "SUITE 520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-579-7272",
            "fax_number": "212-579-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARCELA A BONAFINA-CARACCIOLI PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "BONAFINA-CARACCIOLI",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT OF PC",
        "authorized_official_telephone_number": "212-579-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "0160781",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "P160781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcela A Bonafina-Caraccioli PhD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Neuropsychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.