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EDICKSON BONILLA MA
NPI 1649450131
Counselor - Mental Health in Philadelphia, PA

Active since November 13, 2007
2927 N 5TH ST, PHILADELPHIA, PA 19133(484) 221-9136(484) 221-9130 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edickson Bonilla Ma NPPES

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

EDICKSON BONILLA MA (NPI 1649450131) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1649450131
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDICKSON BONILLACredential: MA
Location Address2927 N 5TH STPhiladelphia, PA 19133-2800
Mailing Address2030 W Tilghman St, Suite 105bAllentown, PA 18104-4354 · (484) 221-9136 · Fax (484) 221-9130
Phone(484) 221-9136
Fax(484) 221-9130
Sole ProprietorNo
Enumeration DateNovember 13, 2007
✔ NPI 1649450131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2927 N 5TH ST, Philadelphia, PA 19133
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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.

LORI L REYES BS
Counselor (Mental Health)
2927 N 5TH ST
PHILADELPHIA, PA 19133
Philadelphia County (484) 221-9136
ALTAGRACIA RAMIREZ
Counselor (Mental Health)
2927 N 5TH ST, 2ND FLOOR
PHILADELPHIA, PA 19133
Philadelphia County (484) 221-9136
NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2927 N 5TH ST, 2ND FLOOR
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-4357
YVAN MARLIN MA
Counselor (Mental Health)
2927 N 5TH ST
PHILADELPHIA, PA 19133
Philadelphia County (484) 221-9136
KEONNA JANEEN MARTIN MS
Counselor
2927 N 5TH ST, SUITE 103
PHILADELPHIA, PA 19133
Philadelphia County (215) 634-6400
DOMINGA PENA BS
Counselor (Mental Health)
2927 N 5TH ST
PHILADELPHIA, PA 19133
Philadelphia County (484) 221-9136
DAVID CUEVAS MA
Counselor (Mental Health)
2927 N 5TH ST
PHILADELPHIA, PA 19133
Philadelphia County (484) 221-9136
NATIVIDAD MELO BA
Counselor (Mental Health)
2927 N 5TH ST
PHILADELPHIA, PA 19133
Philadelphia County (484) 221-9136

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 Edickson Bonilla's NPI number?

The NPI number for Edickson Bonilla is 1649450131. It was assigned to this individual provider in the NPPES registry on November 13, 2007.

Where is Edickson Bonilla located?

Edickson Bonilla practices at 2927 N 5th St, Philadelphia, PA 19133. The listed phone number is (484) 221-9136.

What is Edickson Bonilla's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Edickson Bonilla was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.