Active NPI
Bonnie Louise Macdonald, PH.D.
- Cognitive & Behavioral Psychologist
- Marblehead, MA
National Provider Identifier
1376751297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 6405
- Practice address
- 40 South St
Suite 201
Marblehead, MA 01945-3282 - Phone
- (617) 838-1924
- Fax
- (781) 631-6382
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 6405 | MA | Primary |
| Clinical Psychologist | 103TC0700X | 6405 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6405 | MA |
Addresses
Primary practice location
40 South St
Suite 201
Marblehead, MA 01945-3282
Mailing address
2 Buena Vista Rd
Marblehead, MA 01945-1328
Phone (617) 838-1924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 5, 2016 through Feb 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6405 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376751297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BUENA VISTA RD",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019451328",
"telephone_number": "617-838-1924",
"fax_number": "781-631-6382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SOUTH ST",
"address_2": "SUITE 201",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019453282",
"telephone_number": "617-838-1924",
"fax_number": "781-631-6382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "BONNIE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "6405",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6405",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "6405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marblehead, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.