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DR. BIANCA CAMILLE LUIGI BONILLA PSY.D.
NPI 1245697192
Psychologist - Clinical in Jacksonville, FL

Active since January 23, 2016
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209(904) 475-5800 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Jan 23, 2016 (2 updates tracked since 2016).

About Dr. Bianca Camille Luigi Bonilla Psy.d. NPPES

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

DR. BIANCA CAMILLE LUIGI BONILLA PSY.D. (NPI 1245697192) is an individual clinical provider in Jacksonville, Florida, licensed in Puerto Rico (5478) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1245697192
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BIANCA CAMILLE LUIGI BONILLACredential: PSY.D.
Location Address1536 N JEFFERSON STJacksonville, FL 32209-6525
Mailing Address1536 N Jefferson StJacksonville, FL 32209-6525 · (904) 475-5800
Phone(904) 475-5800
Sole ProprietorNo
Enumeration DateJanuary 23, 2016
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1245697192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PR · 5478
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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 5478 (PR)
1536 N JEFFERSON ST, Jacksonville, FL 32209
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Other Providers at the Same Location NPPES 20

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

MRS. LAURIE A. CECIL OTD, OTR/L, DRP
Occupational Therapist
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. HANIE FAWZY ABDEL MASIH D.O.
Family Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. CYNTHIA HARRIS PHARM. D.
Pharmacist
1536 N JEFFERSON ST, JOC PHARMACY DEPARTMENT
JACKSONVILLE, FL 32209
Duval County (904) 475-5938
DR. AMANDA SUE KENT D.O.
Radiology (Diagnostic Radiology)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 470-6900
DR. RIAZ AHMED M.D.
Psychiatry & Neurology (Psychiatry)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 470-5800
DR. ROBERT M LEVY D.M.D.
Dentist (General Practice)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800
DR. MARTHA B WOMACK PHD
Psychologist (Clinical)
1536 N JEFFERSON ST, JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL 32209
Duval County (912) 447-5660
DR. ELIZABETH GARCIA MCCOY M.D.
Internal Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Duval County (904) 475-5800

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 Bianca Luigi Bonilla's NPI number?

The NPI number for Bianca Luigi Bonilla is 1245697192. It was assigned to this individual provider in the NPPES registry on January 23, 2016.

Where is Bianca Luigi Bonilla located?

Bianca Luigi Bonilla practices at 1536 N Jefferson St, Jacksonville, FL 32209. The listed phone number is (904) 475-5800.

What is Bianca Luigi Bonilla's specialty?

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

When was this NPI record last updated?

The NPPES record for Bianca Luigi Bonilla was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.