Active NPI
Donald Wayne Bonner, EDD
- Clinical Psychologist
- Duncan, OK
National Provider Identifier
1184631640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYCHOLOGY332
- Practice address
- 101 N 14TH Street
Duncan, OK 73533-1120 - Phone
- (580) 255-2458
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYCHOLOGY332 | OK | Primary |
Addresses
Primary practice location
101 N 14TH Street
Duncan, OK 73533-1120
Mailing address
3701 Country Club Road
Duncan, OK 73533
Phone (580) 252-2782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYCHOLOGY332 | OK | MD | Clinical Psychologist |
| 332 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Family Counseling Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawton, OK
- NPI 1417059460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184631640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 COUNTRY CLUB ROAD",
"city": "DUNCAN",
"state": "OK",
"postal_code": "73533",
"telephone_number": "580-252-2782",
"fax_number": "580-252-2782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N 14TH STREET",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331120",
"telephone_number": "580-255-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "DONALD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "PSYCHOLOGY332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncan, OK
- Kara Loy Blackburn, M.S.CCC-SLP,CLT/CDT
- Jordan Tyler Blalock, DDS
- Claire Blevins, MA CCC-SLP
- Bloom Physical Therapy & Wellness PLLC (Bloom Pelvic Health & Physical Therapy)
- Brian Edward Bobrovicz, DPH, PHARMD
- Jamey Ray Bowles
- Kelli Sue Brallier, LMSW
- Debra K Brantley, LPC
- Brendhan M. Fritts OD PC
- Matthew Loren Bridges, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.