MR. XAVIER ANTONIO BONILLA PHD
NPI 1922384999
Psychologist in New Market, MD

Active since October 22, 2011PECOS Enrolled
4 W MAIN ST, NEW MARKET, MD 21774(301) 381-4586(240) 563-0460 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Xavier Antonio Bonilla Phd NPPES

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

MR. XAVIER ANTONIO BONILLA PHD (NPI 1922384999) is an individual psychologist in New Market, Maryland, licensed in Maryland (07314) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1922384999
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. XAVIER ANTONIO BONILLACredential: PHD
Location Address4 W MAIN STNew Market, MD 21774-6290
Mailing Address4 W Main StNew Market, MD 21774-6290 · (301) 381-4586 · Fax (240) 563-0460
Fax(240) 563-0460
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 22, 2011
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
NPI 1922384999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · 07314
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LC4176 (MD)
4 W MAIN ST, New Market, MD 21774

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Xavier Antonio Bonilla Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820460256
PECOS Enrollment IDI20250212003270
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.

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
4 W MAIN ST
NEW MARKET, MD 21774
Social Worker (Clinical)
4 W MAIN ST
NEW MARKET, MD 21774
Social Worker (Clinical)
4 W MAIN ST
NEW MARKET, MD 21774
Massage Therapist
4 W MAIN ST
NEW MARKET, MD 21774
Social Worker
4 W MAIN ST
NEW MARKET, MD 21774
Social Worker (Clinical)
4 W MAIN ST
NEW MARKET, MD 21774
Social Worker (Clinical)
4 W MAIN ST
NEW MARKET, MD 21774
Social Worker (Clinical)
4 W MAIN ST
NEW MARKET, MD 21774

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 Xavier Bonilla's NPI number?

The NPI number for Xavier Bonilla is 1922384999. It was assigned to this individual provider in the NPPES registry on October 22, 2011.

Where is Xavier Bonilla located?

Xavier Bonilla practices at 4 W Main St, New Market, MD 21774. The listed phone number is (301) 381-4586.

What is Xavier Bonilla's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Xavier Bonilla enrolled in Medicare?

Yes. Xavier Bonilla is registered in the Medicare PECOS enrollment system.

What insurance does Xavier Bonilla accept?

Health plans from UnitedHealthcare list Xavier Bonilla 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 Xavier Bonilla was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.