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LAUREN BONAVITACOLA
NPI 1548653587
Psychologist - Clinical in Collingswood, NJ

Active since March 16, 2015PECOS Enrolled
970 HADDON AVE UNIT 481, COLLINGSWOOD, NJ 08108(973) 932-0125 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Oct 19, 2022 (2 updates tracked since 2022).

About Lauren Bonavitacola NPPES

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

LAUREN BONAVITACOLA (NPI 1548653587) is an individual clinical provider in Collingswood, New Jersey, licensed in New York (021710) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in White Plains.

NPPES Registry Identity

NPI1548653587
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAUREN BONAVITACOLA
Location Address970 HADDON AVE UNIT 481Collingswood, NJ 08108-8024
Mailing Address970 Haddon Ave Unit 481Collingswood, NJ 08108-8024 · (973) 932-0125
Phone(973) 932-0125
Sole ProprietorNo
Enumeration DateMarch 16, 2015
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1548653587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 021710
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 · Cognitive & BehavioralTaxonomy 103TB0200X · License 021710 (NY)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 021710 (NY)
970 HADDON AVE UNIT 481, Collingswood, NJ 08108
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Secondary Practice Location 1

Location 11 N Broadway, Suite 704White Plains, NY 10601-2310 · Phone (917) 385-1150 ext. 17

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Bonavitacola 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08108 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

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

BONAVITACOLA PSYCHOLOGICAL SERVICES, LLC
Psychologist (Clinical)
970 HADDON AVE UNIT 481
COLLINGSWOOD, NJ 08108
Camden County (973) 932-0125

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 Lauren Bonavitacola's NPI number?

The NPI number for Lauren Bonavitacola is 1548653587. It was assigned to this individual provider in the NPPES registry on March 16, 2015.

Where is Lauren Bonavitacola located?

Lauren Bonavitacola practices at 970 Haddon Ave Unit 481, Collingswood, NJ 08108. The listed phone number is (973) 932-0125.

What is Lauren Bonavitacola's specialty?

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

Is Lauren Bonavitacola enrolled in Medicare?

Yes. Lauren Bonavitacola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Bonavitacola was last updated on December 6, 2023. 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.