MARY BONNER (NPI# 1588651517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588651517 |
| Entity Type | Individual |
| Full Name | MARY BONNER |
| Credential | PHD |
| Practice Address |
307 E Sevier St Benton AR 72015-3934 |
| Practice Telephone | 5013154224 |
| Practice Fax Number | 5017760411 |
| Mailing Telephone | 5013154224 |
| Mailing Fax Number | 5017760411 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 8713P | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 59275 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629536289 | Mary Ruth Bonner | Speech-Language Pathologist | 3056 Lindsay Ln, Port Huron, MI 48060-7777 | 2019-03-03 |
| 1427179100 | Mary Kay Bonner | Music Therapist | 2375 South, 700 East Road, Whitestown, IN 46075 | 2007-04-02 |
| 1912265224 | Mary C Bonner | Case Manager/Care Coordinator | 5231 Penn Ave, Pittsburgh, PA 15224-1768 | 2012-04-25 |
| 1023172533 | Mary J. Bonner | Internal Medicine | 1020 Grings Hill Rd, Reading, PA 19608-8844 | 2006-12-20 |
| 1275593501 | Mary E Bonner | Physical Therapist | 438 Ganttown Rd, Suite A 3, Sewell, NJ 08080 | 2006-03-23 |
| Street Address |
307 E SEVIER ST |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174919336 | Lana Harrod | Licensed Psychiatric Technician | 307 E Sevier St, Benton, AR 72015-3934 | 2015-04-14 |
| 1679966527 | Candace Mccown | Social Worker | 307 E Sevier St, Benton, AR 72015-3934 | 2015-03-16 |
| 1851782130 | Taylor Griffie | Case Manager/Care Coordinator | 307 E Sevier St, Benton, AR 72015-3934 | 2015-02-09 |
| 1316359615 | Cathy Howell | Licensed Practical Nurse | 307 E Sevier St, Benton, AR 72015-3934 | 2014-05-21 |
| 1689012056 | Kenneth Arnold | Counselor | 307 E Sevier St, Benton, AR 72015-3934 | 2013-06-07 |
| 1700139482 | Abbey L Ray | Case Manager/Care Coordinator | 307 E Sevier St, Benton, AR 72015-3934 | 2012-10-18 |
| 1649527904 | Corrine D Cook | Case Manager/Care Coordinator | 307 E Sevier St, Benton, AR 72015-3934 | 2012-08-06 |
| 1669735346 | Lindsay Powers | Case Manager/Care Coordinator | 307 E Sevier St, Benton, AR 72015-3934 | 2012-06-19 |
| 1134489800 | Kiley Patteson Steele | Social Worker | 307 E Sevier St, Benton, AR 72015-3934 | 2012-05-29 |
| 1366709347 | Casey J Myers | Counselor | 307 E Sevier St, Benton, AR 72015-3934 | 2012-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184958274 | Bernadette Rebecca Rockwell | Psychologist | 1710 Cedarhurst, Benton, AR 72015 | 2009-09-23 |
| 1295911840 | Warren Keith Norwood | Psychologist | 3418 Hazelwood Dr, Benton, AR 72015-6249 | 2008-01-14 |
| 1922618362 | Kelly Lynn Dill | Psychologist | 409 E Park St, Benton, IL 62812-1920 | 2020-07-31 |
| 1407843386 | Kelly Eldridge | Psychologist | 307 E Sevier St, Benton, AR 72015-3934 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725161 | Lauren Rosso | Psychologist | 19 E Mountain St Ste 5, Fayetteville, AR 72701-6067 | 2019-08-12 |
| 1427512128 | Tiffany Marie Wierzbicki | Psychologist | 4004 Mccain Blvd Ste 203, North Little Rock, AR 72116-8057 | 2019-01-27 |
| 1770078750 | Sarah Henderson | Psychologist | 10802 Executive Center Dr Ste 100, Little Rock, AR 72211-4377 | 2018-06-22 |
| 1265951784 | Robert D Felner | Psychologist | 1255 N Montview Dr, Fayetteville, AR 72701-2892 | 2017-09-15 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1316498744 | Morais Consulting, Pllc | Psychologist | 2723 Foxcroft Rd Ste 202f, Little Rock, AR 72227-6522 | 2016-10-20 |
| 1629426770 | Nicholas Mitrani | Psychologist | 4206 Prince Street, Conway, AR 72034-9398 | 2016-05-31 |
| 1649632407 | Caren R Moore | Psychologist | 2020 W 3rd St Ste 609, Little Rock, AR 72205-4467 | 2016-03-22 |
| 1548647381 | Melissa Jean Zielinski | Psychologist | 4301 W Markham St, Slot 589, Little Rock, AR 72205 | 2015-04-30 |
| 1548677693 | Rachel Allen | Psychologist | 11219 Financial Centre Pkwy Ste 310, Little Rock, AR 72211-3868 | 2014-07-21 |
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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.