Bonnie Brown

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY0004771 Issued in CO

Practice address

671 Mitchell Way Ste 212
Erie, CO 80516

Phone

(720) 387-8458

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Sunda Friedman Tebockhorst Psychological Services, LTD.

  • Clinical Psychologist
  • Durango, CO
  • NPI 1720695992
  NPD (past)
• Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD

  • Psychologist
  • Lafayette, CO
  • NPI 1548657877
  NPD (past)
• Dr. Sunda Friedman Tebockhorst Psychologicl Services, LTD

  • Psychologist
  • Lafayette, CO
  • NPI 1669008314
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1427319482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 MOUNT MEEKER RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037143",
            "telephone_number": "805-708-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 MITCHELL WAY STE 212",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "720-387-8458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6680 Gunpark Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803013349",
            "country_code": "US",
            "telephone_number": "720-387-8458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0004771",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY0004771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boulder Community Health
• Boulder Medical Center, P.C.
• Brave Arrows Midwifery, LLC
• Lisa Brone, M.D.
• Judith M Brooke, MS, CCC-SLP
• Bradley Brown, DO
• Cory J Brown, D.O.
• Janet M. Brown, LCSW
• Walker Brown, PHARMD
• Trinity Ann Bryant, PSYD

• Psychologist in Erie, CO
• Providers in Erie, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.