Provider Type Icon

MICHAEL CHESTER BUONOMO MA NPI 1992705917


NPI Information

NPI: 1992705917
Provider Name: MICHAEL CHESTER BUONOMO, MA
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
5781 GLEN OAKS DR
NARVON, PA
ZIP 17555
Phone: (717) 768-4603
Get Directions

Michael Chester Buonomo, MA is a psychologist in Narvon, PA. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. Michael Chester Buonomo, MA NPI is 1992705917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5781 GLEN OAKS DR
NARVON, PA
ZIP 17555-450
Phone: (717) 768-4603
Fax: (717) 768-4604

The enumeration date for this NPI number is 8/1/2005 and was last updated on 11/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorPS-005959-LPENNSYLVANIANo
2101YM0800XCounselorMental HealthPS-005959-LPENNSYLVANIANo
3101YP1600XCounselorPastoralPS005959-LPENNSYLVANIANo
4101YP2500XCounselorProfessionalPS-005959-LPENNSYLVANIANo
5103TB0200XPsychologistCognitive & BehavioralPS-005959-LPENNSYLVANIANo
6103TC1900XPsychologistCounselingPS-005959-LPENNSYLVANIANo
7103TC2200XPsychologistClinical Child & AdolescentPS-005959-LPENNSYLVANIANo
8103TM1800XPsychologistIntellectual and Developmental DisabilitiesPS-005959-LPENNSYLVANIANo
9305R00000XPreferred Provider OrganizationPS-005959-LPENNSYLVANIANo
10302R00000XHealth Maintenance OrganizationPS-005959-LPENNSYLVANIANo
11305S00000XPoint of ServicePS-005959-LPENNSYLVANIANo
12302F00000XExclusive Provider OrganizationPS-005959-LPENNSYLVANIANo
13103TC0700XPsychologistClinicalPS-005959-LPENNSYLVANIANo
14103T00000XPsychologistPS-005959-LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1335793OTHERPENNSYLVANIAMHN
21000037020001MEDICAIDPENNSYLVANIA
3BU76559OTHERPENNSYLVANIAHIGHMARK BS
40007133457OTHERPENNSYLVANIAAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.