Laura Bonomo, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011068 Issued in NY

Practice address

647 Franklin Ave Ste LL4
Garden City, NY 11530-5746

Phone

(516) 798-4070

Fax

(516) 798-4070

NPI assigned

Nov 1, 2006

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 names 1

• Dr. Laura J Cohen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Abridged Psychology, PLLC

  • Cognitive & Behavioral Psychologist
  • Garden City, NY
  • NPI 1316482961

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1851478903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 FRANKLIN AVE STE LL4",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305746",
            "telephone_number": "516-798-4070",
            "fax_number": "516-798-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 FRANKLIN AVE STE LL4",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305746",
            "telephone_number": "516-798-4070",
            "fax_number": "516-798-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOMO",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "COHEN",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Marie Bolebruch, PH.D.
• Robert J Bonasera, M.D.
• Sara Silveria Bonasia
• Heidi Christine Bongiorno, OTR/L
• Vincent Bonilla
• Lisa J Boodram, PHARM D
• Jennifer Booth, APRN
• Kim Boral, NP
• Lara Borg, MSOTRL
• Emily Helen Borghardt, LMSW

• Clinical Psychologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.