Michael Bonomo, PH.D.
Clinical Psychologist · Douglaston, NY
Practice location
24302 Northern BlvdDouglaston, NY 11362-1150
- Phone
- (718) 423-6200
NPI record
- NPI
- 1750782900
- Entity type
- Individual (Type 1)
- Enumeration date
- September 8, 2014
- Last updated
- November 26, 2025
- Certified
- November 26, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Psychologist Primary | 103TC0700X |
021438 | NY |
Mailing address
22 Bob-O-Link LaneNorthport, NY 11768-3305
- Phone
- (917) 837-5922
About Dr. Bonomo
Michael Bonomo, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 24302 Northern Blvd, Douglaston, NY 11362-1150. The NPI number 1750782900 was assigned on September 8, 2014 and the record was last updated on November 26, 2025.
Dr. Bonomo lists a license in the registry: #021438 (NY) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael Bonomo, PH.D.?
The NPI number is 1750782900.
What is the phone number of Dr. Bonomo?
The phone number listed for the practice location is (718) 423-6200.
Where is Dr. Bonomo located?
24302 Northern Blvd, Douglaston, NY 11362-1150.
What is the taxonomy code for Dr. Bonomo?
The primary taxonomy code is 103TC0700X – Clinical Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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