Steven Bonanno, PSY.D.
NPI 1093907917ActiveIndividual· Psychologist, Clinical· Manchester, CT
Psychologist, Clinical (PSY.D.) in Manchester, Connecticut, licensed in MA and CT, with an NPI issued in August 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1093907917 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Aug 14, 2007 |
| Last updated in NPPES | Mar 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 8741 | MA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 002823 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CT) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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