BONNY RYE


Address: 4611 Campus Ridge Dr, Midland, MI 48640-9533
Phone: 9898393500

BONNY RYE (NPI# 1932752235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932752235
Entity Type Individual
Full Name BONNY RYE
Credential LLP
Practice Address 4611 Campus Ridge Dr
Midland
MI 48640-9533
Mailing Address 4000 Wellness Dr
Midland
MI 48670-2000
Practice Telephone 9898393500
Practice Fax Number 9898391869
Enumeration Date 2019-07-17
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301017777 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 4394404 05

Office Location

Street Address 4611 CAMPUS RIDGE DR
City MIDLAND
State MI
Zip Code 48640-9533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205889490 Midmichigan Medical Center - Midland Neurological Surgery 4611 Campus Ridge Dr, Midland, MI 48640 2006-05-18
1356967319 Jennifer Linh An Tran Student in an Organized Health Care Education/Training Program 4611 Campus Ridge Dr, Midland, MI 48640-9533 2020-06-24
1467078576 Wesley Michael Clark Paul Family Medicine 4611 Campus Ridge Dr, Midland, MI 48640-9533 2020-06-24
1285259689 Jamie Kozdron Family Medicine 4611 Campus Ridge Dr, Midland, MI 48640-9533 2020-06-11
1053936443 Odera Mbanugo Family Medicine 4611 Campus Ridge Dr, Midland, MI 48640-9533 2020-06-11
1952926347 Jessica Dowda Family Medicine 4611 Campus Ridge Dr, Midland, MI 48640-9533 2020-06-11
1306461702 Abigail Gizinski Family Medicine 4611 Campus Ridge Dr, Midland, MI 48640-9533 2020-06-11
1295350692 Henry Kozdron Family Medicine 4611 Campus Ridge Dr, Midland, MI 48640-9533 2020-06-11
1831720226 Taylor M Waltz Physician Assistant 4611 Campus Ridge Dr, Midland, MI 48640-9533 2020-02-04
1235777087 Amanda Renee Spickerman Physician Assistant 4611 Campus Ridge Dr, Midland, MI 48640-9533 2019-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407481260 Sdpa Management Pllc Dentist 4915 Jefferson Ave., Midland, MI 48640 2020-03-11
1598237364 Michelle Marie Arthur Occupational Therapist 3007 North Saginaw Rd, Midland, MI 48640 2018-12-18
1295202349 Personal Assistance Options Private Vehicle 1509 Washington Street, Suite C, Midland, MI 48640 2018-10-26
1972094720 Ashley E Cline Technician, Other 5405 Oakridge Dr., Midland, MI 48640 2018-05-27
1669963898 Hope Richelle Walker Social Worker 396 S 9 Mile Rd, Midland, MI 48640 2018-05-23
1568964807 David Isaac Bearss Physical Therapist 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 2018-03-02
1295237741 Ashley Michelle Ghose Physical Therapist 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 2018-03-01
1801306055 Elizabeth Diana Dickerson Social Worker 218 Fast Lane Drive, Midland, MI 48640 2017-10-02
1528502275 Sheila Jensen Behavior Technician 248 E Dopp Rd, Midland, MI 48640 2016-12-15
1518328657 Becky Staudacher Technician, Other 707 Mill St, Midland, MI 48640 2016-03-17
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871943274 Alan Friedman Psychologist 1200 Midland Ave, Midland, PA 15059-1696 2016-06-16
1285757500 Jill E. Trager, Psy.d. Psychologist 2719 Ashman St, Midland, MI 48640-4434 2007-04-10
1528101987 Charles N Silverman Psychologist 6 Desta Dr Ste 2565, Midland, TX 79705-5515 2007-02-15
1710080833 Perry M Marchioni Psychologist 1705 W Illinois, Midland, TX 79701 2006-09-06
1780283051 Danielle Paull Psychologist 720 W Wackerly St Ste 11, Midland, MI 48640-2769 2020-10-19
1154920429 Mikaela Overton Psychologist 720 W Wackerly St Ste 11, Midland, MI 48640-2769 2020-10-19
1467953349 Perspectives Psychological Associates of Midmichigan LLC Psychologist 104 W Wackerly St, Midland, MI 48640-2791 2018-02-26
1396279162 Travis J. Pashak Psychologist 1205 E Wackerly St, Midland, MI 48642-7035 2017-04-18
1033569868 Marissa Lynn O'neill Psychologist 218 Fast Ice Dr, Midland, MI 48642-6167 2016-06-13
1548626187 Janet Alaine Carter Psychologist 4214 Andrews Hwy, Midland, TX 79703-4822 2016-01-12
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Competitor

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City MIDLAND
Zip Code 48640

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Dataset Information

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.

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