BONNIE PEPPER


Address: 80th St & 41st Ave, Elmhurst, NY 11373
Phone: 7183343900

BONNIE PEPPER (NPI# 1598887523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598887523
Entity Type Individual
Full Name BONNIE PEPPER
Credential PSYD
Practice Address 80th St & 41st Ave
Elmhurst
NY 11373
Mailing Address 7901 Broadway
Managed Care, D1-01
Elmhurst
NY 11373-1329
Practice Telephone 7183343900
Practice Fax Number 7183345958
Mailing Telephone 7183341921
Mailing Fax Number 7183343432
Enumeration Date 2007-04-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 016850 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00246075 05

Other Providers BONNIE PEPPER

NPI Name Taxonomy Address Enumeration
1851546576 Bonnie S Pepper Nurse Practitioner 5455 Meridian Mark Road, Atlanta, GA 30342-4722 2008-11-21

Office Location

Street Address 80TH ST & 41ST AVE
City ELMHURST
State NY
Zip Code 11373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841395597 Nima Akhavan Psychiatry & Neurology 80th St & 41st Ave, Elmhurst, NY 11373-1329 2006-09-14
1124203898 Aaron Michael Lipskar Hospitalist 80th St & 41st Ave, Elmhurst, NY 11373-1132 2007-12-31
1861677536 Karisma Sita Ajodah Social Worker 80th St & 41st Ave, Elmhurst, NY 11373-1329 2007-12-31
1669657334 Simon D Marshall Counselor 80th St & 41st Ave, Elmhurst, NY 11373-1329 2007-12-31
1366637886 Monica Jean Bilboul Clinical Neuropsychologist 80th St & 41st Ave, Elmhurst, NY 11373-1329 2007-09-07
1811103898 Larissa Polanco Pediatrics 80th St & 41st Ave, Elmhurst, NY 11373-1329 2007-05-15
1336355403 Samuel Sebastianne Sostre Psychiatry & Neurology 80th St & 41st Ave, Elmhurst, NY 11373-1329 2007-05-15
1578685335 Ann Marie Theresa Sullivan Psychiatry & Neurology 80th St & 41st Ave, Elmhurst, NY 11373 2007-04-04
1003937277 Carlota Gabriel Antonio Nurse Practitioner 80th St & 41st Ave, Elmhurst, NY 11373 2007-04-03
1487776423 Lyudmila Sorkin Nurse Practitioner 80th St & 41st Ave, Elmhurst, NY 11373 2007-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376152736 Carlos Eduardo Hallo Carrasco Student in an Organized Health Care Education/Training Program 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 2020-07-30
1912524034 Jurian Feygen Kaunang Student in an Organized Health Care Education/Training Program Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 2020-07-06
1407471352 Shreeya Parajull Student in an Organized Health Care Education/Training Program 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 2020-06-16
1114542479 Mahmud Omar Elfituri Student in an Organized Health Care Education/Training Program 79-01 Boradway, Elmhurst, NY 11373 2020-06-12
1568091452 Nudjarin Unsin Licensed Practical Nurse 7517 41stave, Apt.f3, Elmhurst, NY 11373 2020-04-03
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1821647926 Shahorin Monzoor Student in an Organized Health Care Education/Training Program 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 2019-09-11
1174184600 Zoila Josefina Cano Rodriguez Student in an Organized Health Care Education/Training Program 7802 41st Ave, Elmhurst, NY 11373 2019-06-25
1891355756 Kanghee Cho Registered Nurse 4143 77th St Elmhurst, Elmhurst, NY 11373 2019-06-13
1861971947 Allen G Luke Acupuncturist 86-21 53 Ave, Elmhurst, NY 11373 2018-08-09
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710508015 The Center for Connections, LLC Psychologist 291 N Maple Ave, Elmhurst, IL 60126-2332 2020-04-28
1407309206 Katherine Figueroa Psychologist 154 W Park Ave Unit 271, Elmhurst, IL 60126-6315 2016-07-27
1295196327 Monica Thomas Psychologist 6020 Wetherole St, Elmhurst, NY 11373-5528 2016-03-17
1821372442 Courtney O'brien Psychologist 7901 Broadway Fl 10, Elmhurst, NY 11373-1329 2011-09-30
1710104963 Deniz Sidali Psychologist 9411 59th Ave Apt C20, Elmhurst, NY 11373-5103 2007-04-19
1356564843 Renee Badami Psychologist 8603 57th Rd, Elmhurst, NY 11373-4844 2007-04-11
1669534186 Timothy Charles Cummings Psychologist 116 S. York St., Suite #215, Elmhurst, IL 60126-3432 2006-12-14
1952484248 Sharon Ann Rinaldi Psychologist 200 E Lake Street, Elmhurst Extended Care Center, Elmhurst, IL 60126-2013 2006-10-23
1811935919 Esther Kaplan Psychologist 386 N York Rd, Suite 204, Elmhurst, IL 60126-2363 2006-06-02
1467447581 Robert L Randall Psychologist 125 W Church St, Elmhurst, IL 60126-3326 2005-09-14
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Competitor

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City ELMHURST
Zip Code 11373

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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