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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN BONAVITACOLA
NPI 1548653587
Psychologist - Clinical in Flourtown, PA

Active since March 16, 2015Opted out of Medicare · through Jul 20, 2028
1407 BETHLEHEM PIKE STE 201, FLOURTOWN, PA 19031(973) 932-0125 Get Directions Write a Review

NPPES record last updated: September 13, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 13, 2026, Dec 6, 2023, Oct 19, 2022 (3 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 Flourtown, Pennsylvania, licensed in New York (021710) and active in the NPI registry since March 2015. She has opted out of Medicare through July 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548653587
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAUREN BONAVITACOLA
Location Address1407 BETHLEHEM PIKE STE 201Flourtown, PA 19031-1946
Mailing Address6711 Germantown Ave Unit 25281Philadelphia, PA 19119-2187 · (973) 932-0125
Phone(973) 932-0125
Sole ProprietorNo
Enumeration DateMarch 16, 2015
Last NPPES UpdateSeptember 13, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2026
✔ 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)
1407 BETHLEHEM PIKE STE 201, Flourtown, PA 19031
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lauren Bonavitacola 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 July 20, 2016 through July 20, 2028.

Opt-Out Effective DateJuly 20, 2016
Opt-Out In Effect ThroughJuly 20, 2028Opt-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 19031 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

BONAVITACOLA PSYCHOLOGICAL SERVICES, LLC
Psychologist (Clinical)
1407 BETHLEHEM PIKE STE 201
FLOURTOWN, PA 19031
Montgomery County (973) 932-0125
JAYNE SENICK
Counselor (Mental Health)
1407 BETHLEHEM PIKE STE 201
FLOURTOWN, PA 19031
Montgomery County (267) 640-5018

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 1407 Bethlehem Pike Ste 201, Flourtown, PA 19031. 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?

No. Lauren Bonavitacola has opted out of Medicare through July 20, 2028. 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.

When was this NPI record last updated?

The NPPES record for Lauren Bonavitacola was last updated on September 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 days 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.