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

Mr. Xavier Antonio Bonilla, PHD

Individual provider Psychologist · NPI 1922384999

Mr. Xavier Antonio Bonilla, PHD is a Clinical Psychologist in New Market, Maryland. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4 W Main St
New Market, MD 21774-6290
Phone: (301) 381-4586
Fax: (240) 563-0460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9 Saint Paul St, Boonsboro, MD 21713-1334 — (301) 381-4586

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 07314 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence LC4176 (MD)

Record details

NPI number1922384999
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedOctober 22, 2011
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated