Active NPIIndividual provider

Matao A Bonner

Counselor, Mental Health in Randolph, Massachusetts

NPI Number1952991853
Practice location
41 Pacella Park Dr, Randolph, MA 02368-1755
Fax
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Last updated
January 25, 2021

Matao A Bonner is a Counselor, Mental Health based in Randolph, MA. Matao A Bonner practices in Randolph, MA. The NPI Number for Matao A Bonner is 1952991853. The current practice location address for Matao A Bonner is 41 Pacella Park Dr, Randolph, MA 02368-1755 and can be reached out via phone at 781-437-1381.

Provider Profile Details

NPI Number
1952991853
Provider Name
Matao A Bonner
Provider Entity Type
Individual
Gender
Male
Address
41 Pacella Park Dr, Randolph, MA 02368-1755
Phone Number
781-437-1381
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
January 25, 2021
Last Update Date
January 25, 2021
Certification Date
January 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Pacella Park Dr
Randolph, MA 02368-1755
Zip
02368-1755
Phone Number
781-437-1381
Randolph, MA 02368Get directions →

Provider Business Mailing Address Details

Address
41 Pacella Park Dr
Randolph, MA 02368-1755
City
Randolph
State
MA
Zip
02368-1755
Phone Number
781-437-1381

License Information

License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matao A Bonner?

The NPI number of Matao A Bonner is 1952991853. It was assigned on January 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Matao A Bonner?

Matao A Bonner is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Matao A Bonner practice?

The practice location is 41 Pacella Park Dr, Randolph, MA 02368-1755. The office can be reached at 781-437-1381 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952991853 directly on the NPPES registry website.

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