Provider Type Icon

CATHLEEN BONACCI MD NPI 1215908660


NPI Information

NPI: 1215908660
Provider Name: CATHLEEN BONACCI, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
597 MERRIMACK ST
LOWELL COMMUNITY HEALTH CENTER
LOWELL, MA
ZIP 01854
Phone: (978) 937-9700
Get Directions

Cathleen Bonacci, MD is a pediatrics in Lowell, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Cathleen Bonacci, MD NPI is 1215908660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

597 MERRIMACK ST
LOWELL COMMUNITY HEALTH CENTER
LOWELL, MA
ZIP 01854
Phone: (978) 937-9700
Fax: (978) 446-9830

The NPI 1215908660 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 7/30/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics211266MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1J26603OTHERBLUE CROSS BLUE SHIELD
2042881348OTHERONE HEALTH
3042881348OTHERUNICARE
43355263OTHERAETNA
5468576OTHERTUFTS
60027404OTHERNEIGHBORHOOD HEALTH PLAN
7042881348OTHERCHOICECARE
8H69395MEDICARE UPIN
957684OTHERFALLON
109686103OTHERCIGNA
11975842OTHERNETWORK HEALTH
12A34586MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
13042881348OTHERBEECH STREET
141305557MEDICAIDMASSACHUSETTS
15AA2914OTHERHARVARD PILGRIM HEALTHCAR

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: 11/14/2023

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.