Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MICHELLE BONUS
DeactivatedAMANDA MICHELLE BONUS is a Mental Health Clinic healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1366964447 is deactivated in the NPPES registry. Verify at CMS.
Mental Health Clinic · PHILADELPHIA, PA
This NPI has been deactivated.
The record was deactivated on June 10, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1366964447
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2017 (4.9150684931507 yrs)
- Last Updated
- Mar 6, 2026
- Deactivated
- Jun 10, 2022
Practice Information
- Address
-
1500 CHESTNUT STPHILADELPHIA, PA, 191022737Browse PA providers · Browse ZIP 19102
- Phone
- 2672198242
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.