Steven J Bonauto, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD08629 Issued in RI

Practice address

2 Regency PLZ
Suite 4
Providence, RI 02903-3160

Phone

(401) 351-0236

Fax

(401) 351-5005

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871607416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 REGENCY PLZ",
            "address_2": "SUITE 4",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033160",
            "telephone_number": "401-351-0236",
            "fax_number": "401-351-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REGENCY PLZ",
            "address_2": "SUITE 4",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033160",
            "telephone_number": "401-351-0236",
            "fax_number": "401-351-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAUTO",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD08629",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "78747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Bolanos, MD
• Olivia Karen Boling
• Traci M Bologna-Jill, DPM
• Marianne Bonanno, MD
• Andrea Ruth Bonas, NP-C
• Tamara S. Bond, RN
• Sophia Bonenfant, DO
• Stephanie Bongiorno Rosen, MSW, LCSW
• Jennifer Bonilla
• Lisa Anne Bonin, N.P.

• Psychiatry Physician in Providence, RI
• Providers in Providence, RI by specialty
• Psychiatry Physician in Rhode Island

• 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.