Bonnie Roberts Chavez, PH.D.
Individual provider Active NPI Clinical Psychologist · Meridian, MS
NPI 1194705665 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1194705665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 04083 (MD)
- Practice address
- Naval Branch Health Clinic
1801 Fuller Rd. Suite a-01 BLDG 367
Meridian, MS 39309-0001 - Phone
- (601) 679-3969
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04083 | MD | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04083 | MD | Yes |
Addresses
Primary practice location
Naval Branch Health Clinic
1801 Fuller Rd. Suite a-01 BLDG 367
Meridian, MS 39309-0001
Mailing address
Naval Branch Health Clinic
1801 Fuller Rd. Suite a-01 BLDG 367
Meridian, MS 39309-0001
Phone (601) 679-3969
Other providers in Meridian, MS
- Rebecca Faye Chaney
- Tim James Chapin
- Johnnie Chapman
- Rachel S Chard
- Charles E Atkins Jr, DMD
- John Wayne Cheatham
- Sandra Cheeks
- Joanie Chesnutt
- Children'S Clinic of Meridian
- Kelsie Rae Chisolm
All providers in Meridian, MS · Clinical Psychologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.