Individual provider · Type 1 NPI
Michael Bonomo, PhD
Clinical Psychologist · Douglaston, NY
Practice location
24302 Northern Blvd
Douglaston, NY 11362-1150
Mailing address
22 Bob-O-Link Lane
Northport, NY 11768-3305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 021438 (NY) |
Clinical Psychologist: 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 discip…
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About NPI 1750782900
Michael Bonomo, PhD's National Provider Identifier is 1750782900, issued on Sep 8, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Douglaston, NY. The record was last updated on Nov 26, 2025.