Bonnie L Bryant, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

02802 Issued in MD

Practice address

10312 Old Fort Rd
Fort Washington, MD 20744-4123

Phone

(301) 292-3994

Fax

(304) 725-3461

NPI assigned

Jun 2, 2006

Last updated

Dec 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Horizons Psychological Services LLC

  • Clinical Child & Adolescent Psychologist
  • Fort Washington, MD
  • NPI 1053403386
  Authorized official Same address or phone
• Aurora Counseling Center

  • Community/Behavioral Health Agency
  • Ranson, WV
  • NPI 1811289333
  NPD (past) Authorized official
• New Horizons Psychological Services Inc

  • Clinical Psychologist
  • Annandale, VA
  • NPI 1982792917
  Authorized official Same address or phone

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1760429088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 4TH AVE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381024",
            "telephone_number": "301-292-3994",
            "fax_number": "304-725-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10312 OLD FORT RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444123",
            "telephone_number": "301-292-3994",
            "fax_number": "304-725-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "BONNIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "02802",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002219",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02802",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniqua Delia Briggs Dubose
• Brighterlife Healthcare Services Inc
• Sarah Loren Brooks
• Edward Claude Brown, D.D.S.
• Melissa Louise Brown, LCSW-C
• Justin Bryant
• Bsu Inc
• Michelle Bullock, HHA
• Jo Ann Burles, CRNA
• Alfred C. Burris II, M.D.

• Cognitive & Behavioral Psychologist in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Cognitive & Behavioral Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.