Individual provider · Type 1 NPI

Nicholas William Bonomo

Psychiatry Physician · Louisville, KY

NPI number 1104483114 Active

Practice location

1850 Bluegrass Ave
Louisville, KY 40215-1161

Call (502) 361-6731 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Psychiatry Physician Primary 2084P0800XR5660 (KY)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1104483114

Nicholas William Bonomo's National Provider Identifier is 1104483114, issued on May 24, 2019. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Louisville, KY. The record was last updated on Jun 19, 2025.