Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BONOMO, PH.D.
Active Sole ProprietorDR. MICHAEL BONOMO, PH.D. is a Clinical Psychologist healthcare provider located in DOUGLASTON, New York. NPI 1750782900 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · DOUGLASTON, NY
Registration Details
- NPI Number
- 1750782900
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2014 (11.933424352661 yrs)
- Last Updated
- Nov 26, 2025
- License
-
021438 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24302 NORTHERN BLVDDOUGLASTON, NY, 113621150Browse NY providers · Browse ZIP 11362
- Phone
- 7184236200
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in DOUGLASTON, NY
| Name | Credential | NPI |
|---|---|---|
| DR. LUCINDA CLARK HOTCHKISS | PH.D. | 1750453767 |
| DR. CAJETAN OKECHUKWU UCHENDU | PHD | 1992903108 |
| TIFFANY LYNN FRANK | M.A. | 1033559935 |
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.