Jessica Bonatakis, PSY.D.
NPI 1679706113 · Clinical Child & Adolescent Psychologist · Hershey, PA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica Bonatakis, PSY.D. is a Clinical Child & Adolescent Psychologist provider in Hershey, PA (NPI 1679706113).
Provider details
- NPI number
- 1679706113
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PS018803 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 500 University DrHershey, PA 17033-2360Phone: (800) 243-1455
Registry dates
- Enumerated
- 2009-09-01
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Frequently asked questions
- What is Jessica Bonatakis's NPI number?
- Jessica Bonatakis's National Provider Identifier (NPI) is 1679706113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Bonatakis's specialty?
- Jessica Bonatakis is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Jessica Bonatakis located?
- Jessica Bonatakis's practice location on file with NPPES is 22 Northeast Dr, Hershey, PA 17033-2732.
- What is Jessica Bonatakis's phone number?
- The practice phone number listed in the NPPES registry for Jessica Bonatakis is (717) 531-8338.
- Does Jessica Bonatakis accept Medicare?
- Jessica Bonatakis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessica Bonatakis's NPI active?
- Yes — Jessica Bonatakis's NPI (1679706113) is active in the NPPES registry as of the last update on 2021-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.