Angelica Marie Bonilla Tanon, PSYD
NPI 1306554639ActiveIndividual· Psychologist, Counseling· Toa Baja, PR
Psychologist, Counseling (PSYD) in Toa Baja, Puerto Rico, licensed in PR, with an NPI issued in November 2022. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1306554639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Nov 7, 2022 |
| Last updated in NPPES | Apr 13, 2025 |
| Certified by provider | Apr 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 6330 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (PR) |
|---|
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