Individual provider · Type 1 NPI

Rebecca Rose Bonneville, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Woodland Hills, CA

NPI number 1821424375 Active

Practice location

22704 Ventura Blvd Unit 115
Woodland Hills, CA 91364-1333

Call (323) 900-5091 Map

Fax (323) 538-6512

Other practice locations

  • 390 40th St, Oakland, CA 94609-2633 · (510) 653-5040
  • 6310 San Vicente Blvd Ste 360, Los Angeles, CA 90048-5448 · (323) 870-6161
  • 1921 Ransom Pl, Nashville, TN 37217 · (615) 279-6700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95010667 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808X22278 (TN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1821424375

Rebecca Rose Bonneville, NURSE PRACTITIONER's National Provider Identifier is 1821424375, issued on Sep 16, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Woodland Hills, CA. The record was last updated on Mar 18, 2026.