CASSANDRA MIA BONITTO
NPI 1184298598
Psychologist in Renton, WA

Active since May 19, 2021PECOS Enrolled
400 S 2ND ST, RENTON, WA 98057(425) 424-6310 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2024, Sep 13, 2022, Jun 21, 2021 and 1 more (4 updates tracked since 2021).

About Cassandra Mia Bonitto NPPES

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

CASSANDRA MIA BONITTO (NPI 1184298598) is an individual psychologist in Renton, Washington, licensed in Washington (PY61261562) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seatac.

NPPES Registry Identity

NPI1184298598
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCASSANDRA MIA BONITTO
Location Address400 S 2ND STRenton, WA 98057-2007
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566
Sole ProprietorNo
Enumeration DateMay 19, 2021
Last NPPES UpdateDecember 16, 20244 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
NPI 1184298598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY61261562
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.
Also ListedCounselorTaxonomy 101Y00000X · License MC61153001 (WA)
400 S 2ND ST, Renton, WA 98057

Secondary Practice Location 1

Location 14424 S 188th St Bldg 900Seatac, WA 98188-5028 · Phone (206) 277-7210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cassandra Mia Bonitto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Federally Qualified Health Center (FQHC))
400 S 2ND ST
RENTON, WA 98057
Family Medicine
400 S 2ND ST
RENTON, WA 98057
Family Medicine
400 S 2ND ST
RENTON, WA 98057
Speech-Language Pathologist
400 S 2ND ST
RENTON, WA 98057

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 Cassandra Bonitto's NPI number?

The NPI number for Cassandra Bonitto is 1184298598. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Cassandra Bonitto located?

Cassandra Bonitto practices at 400 S 2nd St, Renton, WA 98057. The listed phone number is (425) 424-6310.

What is Cassandra Bonitto's specialty?

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

Is Cassandra Bonitto enrolled in Medicare?

Yes. Cassandra Bonitto is registered in the Medicare PECOS enrollment system.

What insurance does Cassandra Bonitto accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Cassandra Bonitto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cassandra Bonitto was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.