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DR. MICHAEL BONOMO PH.D.
NPI 1750782900
Psychologist - Clinical in Douglaston, NY

Active since September 08, 2014
24302 NORTHERN BLVD, DOUGLASTON, NY 11362(718) 423-6200 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Michael Bonomo Ph.d. NPPES

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

DR. MICHAEL BONOMO PH.D. (NPI 1750782900) is an individual clinical provider in Douglaston, New York, licensed in New York (021438) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1750782900
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL BONOMOCredential: PH.D.
Location Address24302 NORTHERN BLVDDouglaston, NY 11362-1150
Mailing Address22 Bob-o-link LaneNorthport, NY 11768-3305 · (917) 837-5922
Phone(718) 423-6200
Sole ProprietorYes
Enumeration DateSeptember 8, 2014
Last NPPES UpdateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1750782900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 021438
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.
24302 NORTHERN BLVD, Douglaston, NY 11362
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

MRS. TINA ELLEN MACHNIKOFF LCSW
Social Worker (Clinical)
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Queens County (718) 423-6200
TIFFANY LYNN FRANK M.A.
Psychologist (Clinical)
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Queens County (718) 423-6200
YAIR M AUSUBEL
Social Worker
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Queens County (914) 365-8818
MISS STEPHANIE MARIA MARCHESE I
Student in an Organized Health Care Education/Training Program
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Queens County (718) 423-6200
WERONIKA ADLERSTEIN MSW
Social Worker (Clinical)
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Queens County (718) 423-6200
AVI APPEL LMSW
Social Worker
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Queens County (718) 423-6200
DR. MARC GUTTMAN PSYD
Psychologist
24302 NORTHERN BLVD
LITTLE NECK, NY 11362
Queens County (718) 423-6200
JAMILA RICHARDS
Social Worker
24302 NORTHERN BLVD
DOUGLASTON, NY 11362
Queens County (718) 432-6200

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 Michael Bonomo's NPI number?

The NPI number for Michael Bonomo is 1750782900. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Where is Michael Bonomo located?

Michael Bonomo practices at 24302 Northern Blvd, Douglaston, NY 11362. The listed phone number is (718) 423-6200.

What is Michael Bonomo's specialty?

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

What insurance does Michael Bonomo accept?

Health plans from Providence Health Plan list Michael Bonomo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Bonomo was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.