Active NPI
Bonnie Dekin, LMFT
- Marriage & Family Therapist
- Baldwinsville, NY
National Provider Identifier
1922733195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001989
- Practice address
- 3070 Belgium Rd
Baldwinsville, NY 13027-9546 - Phone
- (315) 720-1118
- Fax
- (315) 720-1171
- NPI assigned
- Jul 20, 2022
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001989 | NY | Primary |
Addresses
Primary practice location
3070 Belgium Rd
Baldwinsville, NY 13027-9546
Mailing address
723 W Dominick St Apt 1
Rome, NY 13440-3973
Phone (315) 334-2166
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001989 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1922733195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 W DOMINICK ST APT 1",
"city": "ROME",
"state": "NY",
"postal_code": "134403973",
"telephone_number": "315-334-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 BELGIUM RD",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130279546",
"telephone_number": "315-720-1118",
"fax_number": "315-720-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKIN",
"first_name": "BONNIE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "001989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.