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Active NPI 1659488583 Individual Practitioner Male Practitioner

Dr. Carl Albert Bonacci , PhD

Psychologist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Carl Bonacci, PhD is a registered healthcare professional specializing in Psychologist in Phoenix, AZ. Practice services are available at 1349 E COLTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1349 E Colter St

Phoenix, AZ 850143048

Telephone 9282574897
Fax 8665341701
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
223 Specialists

Practicing in Phoenix, AZ (788 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License AZ 3376

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.

Clinical Neuropsychologist

NUCC Taxonomy Code: 103G00000X

State License AZ 3376

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Psychologist - Adult Development & Aging

NUCC Taxonomy Code: 103TA0700X

State License AZ 3376

A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
564527 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1679709646

Master of Social Work

Dr. Lacresha Kinnebrew , PsyD

Psychologist - Adult Development & Aging

NPI 1720093651

Doctor of Psychology (Psy.D.)

Antonio Dacosta , LCSW

Social Worker - Clinical

NPI 1851510812

Licensed Clinical Social Worker

Lynn Hepperly , LCSW

Counselor - Mental Health

NPI 1871812230

Licensed Clinical Social Worker

Dr. Elaine Katzman , NP, PhD

Nurse Practitioner - Psychiatric/Mental Health

NPI 1891965810

Nurse Practitioner, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1349 E COLTER ST, PHOENIX, AZ 850143048 (Tel: 9282574897)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1349 E COLTER ST, PHOENIX, AZ 850143048 (Tel: 9282574897)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CARL BONACCI, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Clinical Neuropsychologist (License #3376 in AZ)

🟢
Initial NPI Registration & Enumeration August 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659488583
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2006
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

1349 E Colter St

Phoenix, AZ 850143048

Phone: 9282574897

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.