Dr Jazzmin Tonai Hicks-bonam, PSYD - Psychologist in Moreno Valley, CA

Dr Jazzmin Tonai Hicks-bonam, PSYD is a Psychologist - Clinical based in Moreno Valley, California. Dr Jazzmin Tonai Hicks-bonam is licensed to practice in California (license number 32243) and her current practice location is 12968 Frederick St Ste D, Moreno Valley, California. She can be reached at her office (for appointments etc.) via phone at (951) 208-0150.

NPI number for Dr Jazzmin Tonai Hicks-bonam is 1861098725 and her current mailing address is 43824 20th St W # 8878, Lancaster, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861098725.

Contact Information

Dr Jazzmin Tonai Hicks-bonam, PSYD
12968 Frederick St Ste D,
Moreno Valley, CA 92553-5229
(951) 208-0150
(951) 208-0409

Map and Direction




Healthcare Provider's Profile

Full NameDr Jazzmin Tonai Hicks-bonam
GenderFemale
SpecialityPsychologist - Clinical
Location12968 Frederick St Ste D, Moreno Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861098725
  • Provider Enumeration Date: 12/07/2020
  • Last Update Date: 09/02/2021

Medical Identifiers

Medical identifiers for Dr Jazzmin Tonai Hicks-bonam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861098725NPI-NPPES
32243OtherCABOARD OF PSYCHOLOGY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 32243 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jazzmin Tonai Hicks-bonam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jazzmin Tonai Hicks-bonam, PSYD
43824 20th St W # 8878,
Lancaster, CA 93534-5201

Ph: (310) 951-7764
Dr Jazzmin Tonai Hicks-bonam, PSYD
12968 Frederick St Ste D,
Moreno Valley, CA 92553-5229

Ph: (951) 208-0150

Reviews and Comments


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