DR. BONNIE MARIE BROWN – Clinical Psychologist, NPI 1801923339
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 CLINICAL PSYCHOLOGIST in MI
Provider Addresses for DR. BONNIE MARIE BROWN
844 Washington Ave Ste 100
Holland, MI 494237197
Phone: (616) 546-2550
Fax: (616) 546-2678
Type: Location
2060 East Paris Ave SE Ste 200
Grand Rapids, MI 495466113
Phone: (616) 285-1377
Fax: (616) 285-1154
Type: Location
2780 S Jones Blvd Ste 108
Las Vegas, NV 891465641
Phone: (888) 320-2271
Fax: (888) 765-5221
Type: Location
250 Monroe Ave NW Ste 412
Grand Rapids, MI 495032211
Phone: (888) 320-2271
Type: Location
2780 S JONES BLVD
SUITE 108
LAS VEGAS, NV 891465628
Phone: (888) 320-2271
Fax: (888) 765-5221
Type: Mailing
1675 E MT GARFIELD RD STE 135
MUSKEGON, MI 494447732
Phone: (231) 799-8880
Fax: (231) 799-8803
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170824002713 | I | Clinical Psychologist | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49423)
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