Bonnie-Lyn II, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BONNIE-LYN II, INC.

Practice address

430 Patterson Ave
Mankato, MN 56001-2309

Phone

(507) 388-5801

Fax

(507) 388-2715

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Earlyn Pengelly, M.A., M.S.NPI 1710004163

Title

Chief Executive Officer

Phone

(507) 388-5801

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earlyn Dorothy Pengelly, M.A., M.S.

  • Clinical Psychologist
  • Mankato, MN
  • NPI 1710004163
  NPD (past) Authorized official
• Linda Jean Solyntjes, M.S.W.

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1629195078
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649397092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PATTERSON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012309",
            "telephone_number": "507-388-5801",
            "fax_number": "507-388-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PATTERSON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560012309",
            "telephone_number": "507-388-5801",
            "fax_number": "507-388-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE-LYN II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENGELLY",
        "authorized_official_first_name": "EARLYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "507-388-5801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "120001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57784BO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "30349",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA, UBH",
            "identifier": "6120605",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Cay Bolstad, PHARMD, RPH
• Katelyn M Bolte
• Amy Bond, MA, ATC
• Edina Kaara-Eebo Bongkye Kavaarpuo, MBCHB
• Sonya Bonnett
• Staci Leigh Born, ED.D., LMFT, RPT
• Erin Borneke
• Kaitlyn Borneke, PA
• Bradley Dean Borresen, RPH
• Jerome Borth, R.PH.

• Community/Behavioral Health Agency in Mankato, MN
• Providers in Mankato, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.