DR. JOSEPH LEONARD BONVIE (PSY.D.) – Clinical Psychologist, NPI 1578779559
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,694 CLINICAL PSYCHOLOGIST in MA
Provider Addresses for DR. JOSEPH LEONARD BONVIE (PSY.D.)
1 CONSTITUTION RD STE 140
CHARLESTOWN, MA 02129
Phone: (617) 724-5202
Type: Mailing
55 FRUIT ST
BOSTON, MA 021142621
Phone: (617) 724-5202
Type: Location
Naval Special Warfare Command
Medical Dept Code 04, 2000 Trident Way
San Diego, CA 92155
Phone: (757) 893-2033
Fax: (619) 437-3197
Type: Location
NAVAL SPECIAL WARFARE COMMAND
MEDICAL DEPT CODE 04, 2000 TRIDENT WAY
SAN DIEGO, CA 92155
Phone: (757) 893-2033
Fax: (619) 437-3197
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231016002976 | I | Clinical Psychologist | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02129)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MA | |
| Diagnostic Radiology | MA | |
| Nephrology, Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| P A T H O L O G Y | NY | |
| P A T H O L O G Y | MA | |
| P S Y C H I A T R Y | MA | |
| Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology) | MA | |
| H E M A T O L O G Y/ O N C O L O G Y | MA | |
| N E U R O L O G Y | MA |
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