Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Bonomo, PHD

Individual provider Clinical Psychologist · NPI 1750782900

Dr. Michael Bonomo, PHD is a Clinical Psychologist in Douglaston, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

24302 Northern Blvd
Douglaston, NY 11362-1150
Phone: (718) 423-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 021438 (NY)

Record details

NPI number1750782900
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 8, 2014
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address22 Bob-O-Link Lane, Northport, NY 11768-3305

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