BONITA PATTON (NPI# 1366580565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366580565 |
| Entity Type | Individual |
| Full Name | BONITA PATTON |
| Credential | PH.D., L.P. |
| Practice Address |
300 3rd Ave Se Suite 405 Rochester MN 55904-4619 |
| Mailing Address |
2534 Salem Rd Sw Rochester MN 55902-1303 |
| Practice Telephone | 5072888544 |
| Practice Fax Number | 5072888545 |
| Mailing Telephone | 5072815762 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
LP2721 | MN | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 738 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | HP29574 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 59A75PA | 01 |
| MN | PREFERRED ONE | 1010917 | 01 |
| MN | UCARE | 117911 | 01 |
| MN | UNITED BEHAVIORAL HEALTH | 6174943 | 01 |
| Street Address |
300 3RD AVE SE SUITE 405 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511752 | William Kleis | Psychologist | 300 3rd Ave Se, Suite 408, Rochester, MN 55904-4619 | 2005-10-08 |
| 1023525565 | Valerie J Presa | Marriage & Family Therapist | 300 3rd Ave Se, Rochester, MN 55904-4619 | 2018-01-05 |
| 1538472352 | Susan Knutson | Registered Nurse | 300 3rd Ave Se, Suite 405, Rochester, MN 55904-4619 | 2010-07-21 |
| 1477878569 | Tatyana Karpyak | Psychologist | 300 3rd Ave Se, Suite 405, Rochester, MN 55904-4619 | 2010-03-31 |
| 1114172277 | Barbara Lowe-fierke | Psychologist | 300 3rd Ave Se, Suite 405, Rochester, MN 55904-4619 | 2008-11-17 |
| 1568674646 | James William Lovett | Chiropractor | 300 3rd Ave Se, Ste:206, Rochester, MN 55901 | 2007-05-03 |
| 1487781514 | Kristine Marie Meyer | Psychologist | 300 3rd Ave Se, Suite 405, Rochester, MN 55904-4619 | 2007-02-27 |
| 1164559241 | John Michael Imp | Psychologist | 300 3rd Ave Se, Suite 405, Rochester, MN 55904-4619 | 2007-02-27 |
| 1003943168 | Susan Frances Dunhaupt | Social Worker | 300 3rd Ave Se, Suite 405, Rochester, MN 55904-4619 | 2007-02-27 |
| 1861543274 | Rachel Sara Bulbulian | Social Worker | 300 3rd Ave Se, Suite 208, Rochester, MN 55904-4619 | 2007-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
| 1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
| 1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
| 1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
| 1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
| 1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.