THOMAS O. BONNER PH.D.
NPI 1194043471
Psychologist - Clinical in Miami, FL

Q: What is Thomas Bonner's NPI number?

The NPI number for Thomas Bonner is 1194043471. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Q: What is Thomas Bonner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Thomas Bonner enrolled in Medicare?

No. Thomas Bonner has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Thomas Bonner was last updated on May 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.

Active since May 11, 2010Opted out of Medicare · through Oct 1, 2026

9480 SW 77TH AVE, MIAMI, FL 33156(305) 595-1616(305) 595-7272 Get Directions Write a Review

NPPES record last updated: May 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas O. Bonner Ph.d. NPPES

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

THOMAS O. BONNER PH.D. (NPI 1194043471) is an individual clinical provider in Miami, Florida, licensed in Florida (PY2826) and active in the NPI registry since May 2010. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194043471

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTHOMAS O. BONNERCredential: PH.D.

Location Address9480 SW 77TH AVEMiami, FL 33156-7903

Mailing Address9480 Sw 77th AveMiami, FL 33156-7903 · (305) 595-1616 · Fax (305) 595-7272

Phone(305) 595-1616

Fax(305) 595-7272

Sole ProprietorYes

Enumeration DateMay 11, 2010

✔ NPI 1194043471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY2826

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9480 SW 77TH AVE, Miami, FL 33156

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Other Identifiers 1

Medicare UPINR04106FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thomas O. Bonner Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33156 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

JUAN ENRIQUE RODRIGUEZ, M.D., P.A.

Psychiatry & Neurology (Psychiatry)