Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. XAVIER ANTONIO BONILLA, PHD
ActiveMR. XAVIER ANTONIO BONILLA, PHD is a Psychologist healthcare provider located in NEW MARKET, Maryland. NPI 1922384999 is currently active in the NPPES registry. Verify at CMS.
Psychologist · NEW MARKET, MD
Registration Details
- NPI Number
- 1922384999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 22, 2011 (14.62946939415 yrs)
- Last Updated
- Sep 4, 2025
- Licenses
-
07314 (MD)LC4176 (MD)
Practice Information
- Address
-
4 W MAIN STNEW MARKET, MD, 217746290Browse MD providers · Browse ZIP 21774
- Phone
- 3013814586
- Fax
- 2405630460
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Mental Health Counselor
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.