BONNIE SLADE PH.D. P.A.
NPI 1629480231
Psychologist - Clinical Child & Adolescent in Palm Bay, FL

Q: What is Bonnie Slade Ph.D. P.A.'s NPI number?

The NPI number for Bonnie Slade Ph.D. P.A. is 1629480231. It was assigned to this organization in the NPPES registry on May 30, 2014.

Q: What is Bonnie Slade Ph.D. P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since May 30, 2014

1555 PORT MALABAR BLVD., SUITE 104, PALM BAY, FL 32958(321) 729-0870(321) 952-2516 Get Directions Write a Review

NPPES record last updated: May 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bonnie Slade Ph.d. P.a. NPPES

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

BONNIE SLADE PH.D. P.A. (NPI 1629480231) is a healthcare organization registered as a clinical child & adolescent in Palm Bay, Florida and active in the NPI registry since May 2014. The organization lists Bonnie Slade, President, as its authorized official.

NPPES Registry Identity

NPI1629480231

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameBONNIE SLADE PH.D. P.A.

Location Address1555 PORT MALABAR BLVD., SUITE 104Palm Bay, FL 32958

Mailing Address1555 Port Malabar Blvd., Suite 104Palm Bay, FL 32958 · (321) 729-0870 · Fax (321) 952-2516

Phone(321) 729-0870

Fax(321) 952-2516

Organization SubpartNo

Authorized OfficialBonnie SladePresident · (321) 729-0870

Enumeration DateMay 30, 2014

✔ NPI 1629480231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in FL · PY002036

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1555 PORT MALABAR BLVD., Palm Bay, FL 32958

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bonnie Slade Ph.D. P.A.'s NPI number?

The NPI number for Bonnie Slade Ph.D. P.A. is 1629480231. It was assigned to this organization in the NPPES registry on May 30, 2014.

Where is Bonnie Slade Ph.D. P.A. located?

Bonnie Slade Ph.D. P.A. is located at 1555 Port Malabar Blvd. Suite 104, Palm Bay, FL 32958. The listed phone number is (321) 729-0870.

What is Bonnie Slade Ph.D. P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Bonnie Slade Ph.D. P.A. was last updated on May 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.