MR. PAUL BONILLA JAIME
NPI 1396316097
Marriage & Family Therapist in Bronx, NY

Q: What is Paul Bonilla Jaime's NPI number?

The NPI number for Paul Bonilla Jaime is 1396316097. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Q: What is Paul Bonilla Jaime's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since July 05, 2021PECOS Enrolled

579 COURTLANDT AVE, BRONX, NY 10451(718) 485-2100 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Paul Bonilla Jaime NPPES

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

MR. PAUL BONILLA JAIME (NPI 1396316097) is an individual marriage & family therapist in Bronx, New York and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396316097

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. PAUL BONILLA JAIME

Location Address579 COURTLANDT AVEBronx, NY 10451-5013

Mailing Address200 W 145th St Apt 7New York, NY 10039-4109 · (718) 730-3902

Phone(718) 485-2100

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 5, 2021

NPPES CertifiedJuly 5, 2021

✔ NPI 1396316097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

579 COURTLANDT AVE, Bronx, NY 10451

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Paul Bonilla Jaime is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628513314

PECOS Enrollment IDI20240717004887

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 20

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

ILIANA PAOLA MEDINA

Social Worker