BRITTANY BONASERA PHD
NPI 1043025794
Psychologist in Jericho, NY

Active since February 10, 2025PECOS Enrolled
500 N BROADWAY STE 215, JERICHO, NY 11753(516) 719-6383 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brittany Bonasera Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRITTANY BONASERA PHD (NPI 1043025794) is an individual psychologist in Jericho, New York and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043025794
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameBRITTANY BONASERACredential: PHD
Location Address500 N BROADWAY STE 215Jericho, NY 11753-2145
Mailing Address3540 Verona PlSeaford, NY 11783-2735 · (516) 880-3803
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1043025794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
500 N BROADWAY STE 215, Jericho, NY 11753

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brittany Bonasera Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406359785
PECOS Enrollment IDI20260504008172
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brittany Bonasera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
500 N BROADWAY STE 215
JERICHO, NY 11753
Psychologist (Cognitive & Behavioral)
500 N BROADWAY STE 215
JERICHO, NY 11753
Psychologist
500 N BROADWAY STE 215
JERICHO, NY 11753
Psychologist (Cognitive & Behavioral)
500 N BROADWAY STE 215
JERICHO, NY 11753
Psychologist (Cognitive & Behavioral)
500 N BROADWAY STE 215
JERICHO, NY 11753
Psychologist (Clinical)
500 N BROADWAY STE 215
JERICHO, NY 11753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brittany Bonasera's NPI number?

The NPI number for Brittany Bonasera is 1043025794. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Brittany Bonasera located?

Brittany Bonasera practices at 500 N Broadway Ste 215, Jericho, NY 11753. The listed phone number is (516) 719-6383.

What is Brittany Bonasera's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Brittany Bonasera enrolled in Medicare?

Yes. Brittany Bonasera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brittany Bonasera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brittany Bonasera reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brittany Bonasera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brittany Bonasera was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.