Bonnie Grace Stanley, M.ED.,ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS996 Issued in FL

Practice address

1350 N Orange Ave
Suite200
Winter Park, FL 32789-4945

Phone

(407) 644-4367

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bonnie Grace Malone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1801171376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 W WINGED FOOT CIR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084203",
            "telephone_number": "407-365-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N ORANGE AVE",
            "address_2": "SUITE200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894945",
            "telephone_number": "407-644-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "BONNIE",
        "middle_name": "GRACE",
        "credential": "M.ED.,ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SCHOOL PSYCHOLOGIST",
            "identifier": "SS996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "MALONE",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Charles Stahler
• Savannah Renee Stamm
• Julie Marie Staney, ATC/LAT
• Dana Marie Stango
• Ronald Joseph Stanish, MD
• George A Stanley, MD
• Sheril K Stansberry, MD
• Kelli Stansbury
• Amanda Stanton, APRN
• Steven Alan Stapp, DMD

• School Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.