Active NPI
Bonnie Tauber, PSY.D.
- Psychologist
- Laguna Woods, CA
National Provider Identifier
1992862064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 17093
- Practice address
- 2147 Ronda Granada Unit B
Laguna Woods, CA 92637-0719 - Phone
- (310) 876-9600
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 17093 | CA | Primary |
Addresses
Primary practice location
2147 Ronda Granada Unit B
Laguna Woods, CA 92637-0719
Mailing address
2147 Ronda Granada Unit B
Laguna Woods, CA 92637-0719
Phone (310) 876-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2013 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 17093 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1992862064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 RONDA GRANADA UNIT B",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926370719",
"telephone_number": "310-876-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2147 RONDA GRANADA UNIT B",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926370719",
"telephone_number": "310-876-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUBER",
"first_name": "BONNIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 17093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Woods, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.