DR. NELLY ESTHER BONILLA BONILLA PSYD, LP
NPI 1356830210
Psychologist in Jordan, MN

Active since May 07, 2018
863 FOREST EDGE DR, JORDAN, MN 55352(612) 475-0505 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Nov 1, 2023, Oct 10, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Nelly Esther Bonilla Bonilla Psyd, Lp NPPES

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

DR. NELLY ESTHER BONILLA BONILLA PSYD, LP (NPI 1356830210) is an individual psychologist in Jordan, Minnesota, licensed in Puerto Rico (LP6839) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1356830210
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. NELLY ESTHER BONILLA BONILLACredential: PSYD, LP
Location Address863 FOREST EDGE DRJordan, MN 55352-4502
Mailing Address863 Forest Edge DrJordan, MN 55352-4502 · (612) 475-0505
Sole ProprietorNo
Enumeration DateMay 7, 2018
Last NPPES UpdateSeptember 19, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1356830210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PR · LP6839
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.
863 FOREST EDGE DR, Jordan, MN 55352

Accepted Insurance

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 Nelly Bonilla Bonilla's NPI number?

The NPI number for Nelly Bonilla Bonilla is 1356830210. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Nelly Bonilla Bonilla located?

Nelly Bonilla Bonilla practices at 863 Forest Edge Dr, Jordan, MN 55352. The listed phone number is (612) 475-0505.

What is Nelly Bonilla Bonilla's specialty?

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

What insurance does Nelly Bonilla Bonilla accept?

Health plans from UnitedHealthcare list Nelly Bonilla Bonilla 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 Nelly Bonilla Bonilla was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.