Active NPI
Bonnie J Farr, PSYD
- Clinical Neuropsychologist
- Ocala, FL
National Provider Identifier
1609008465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY 7147
- Practice address
- 3002 SE 1St Ave
Building 200
Ocala, FL 34471-0477 - Phone
- (352) 209-8649
- Fax
- (352) 486-7884
- NPI assigned
- Aug 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY 7147 | FL | Primary |
| Clinical Psychologist | 103TC0700X | PY 7147 | FL |
Addresses
Primary practice location
3002 SE 1St Ave
Building 200
Ocala, FL 34471-0477
Mailing address
3002 SE 1St Ave
Building 200
Ocala, FL 34471-0477
Phone (352) 209-8649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3002 SE 1St Ave
Suite 200
Ocala, FL 34471-0482
Phone (352) 209-8649
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7147 | FL | MD | Clinical Neuropsychologist |
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 and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Ocala, FL
- NPI 1811221914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1609008465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 SE 1ST AVE",
"address_2": "BUILDING 200",
"city": "OCALA",
"state": "FL",
"postal_code": "344710477",
"telephone_number": "352-209-8649",
"fax_number": "352-486-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 SE 1ST AVE",
"address_2": "BUILDING 200",
"city": "OCALA",
"state": "FL",
"postal_code": "344710477",
"telephone_number": "352-209-8649",
"fax_number": "352-486-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARR",
"first_name": "BONNIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY 7147",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 7147",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.