Acclaim Assessment Consultants, LLC

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Legal business name

ACCLAIM ASSESSMENT CONSULTANTS, LLC

Practice address

2400 Tamarack Ave Ste 201
South Windsor, CT 06074-5559

Phone

(860) 539-6779

Fax

(860) 432-8035

NPI assigned

Aug 8, 2021

Last updated

Aug 8, 2021By 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. Steven Bonanno, PSY.D.NPI 1093907917

Title

Owner

Phone

(860) 539-6779

Specialties & licenses 3

Addresses

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.

• Steven Bonanno, PSY.D.

  • Clinical Psychologist
  • Manchester, CT
  • NPI 1093907917
  NPD Authorized official

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628380800000",
    "number": "1962176404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060740583",
            "telephone_number": "860-539-6779",
            "fax_number": "860-432-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 TAMARACK AVE STE 201",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745559",
            "telephone_number": "860-539-6779",
            "fax_number": "860-432-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM ASSESSMENT CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "BONANNO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-539-6779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Psychologist in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Health Service Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.