Bonnie Marie Brown

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017020 Issued in MI

Practice address

1675 E Mt Garfield Rd Ste 135
Muskegon, MI 49444-7732

Phone

(231) 799-8880

Fax

(231) 799-8803

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Dr. Bonnie Marie Winkleman Former name

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDADD

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.

• Michigan Pain Consultants PC

  • Pain Medicine (Anesthesiology) Physician
  • Grand Rapids, MI
  • NPI 1467418574
  NPD (past)
• Bonnie M Winkleman LTD

  • Counseling Psychologist
  • Las Vegas, NV
  • NPI 1376745067

  Counseling

  NPD (past)
• Red Rock Guidance Center LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1104954676
  NPD (past)
• Sun City Hospice Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1104517036
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801923339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD",
            "address_2": "SUITE 108",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465628",
            "telephone_number": "888-320-2271",
            "fax_number": "888-765-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 E MT GARFIELD RD STE 135",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494447732",
            "telephone_number": "231-799-8880",
            "fax_number": "231-799-8803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 East Paris Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466113",
            "country_code": "US",
            "telephone_number": "616-285-1377",
            "fax_number": "616-285-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "844 Washington Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494237197",
            "country_code": "US",
            "telephone_number": "616-546-2550",
            "fax_number": "616-546-2678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Monroe Ave NW Ste 412",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032211",
            "country_code": "US",
            "telephone_number": "888-320-2271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 S Jones Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465641",
            "country_code": "US",
            "telephone_number": "888-320-2271",
            "fax_number": "888-765-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BONNIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0405",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NV",
            "license": "PY0405",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301017020",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801923339",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002602083",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "WINKLEMAN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hope Marie Brookens, MA, LPC, CAADC
• Kayla Browers, COTA
• Brown Family Chiropractic PLLC
• Amber Rose Brown
• Bethany Jean Brown, R.N., C.N.M.
• Brandee Janise Brown
• Deaisha Deshay Brown
• Donald W Brown, DO
• Emily Elizabeth Brown, RDH
• Heather Jo Brown, LPC

• All providers in Muskegon, MI
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.