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Bonny Rye , LLP

Psychologist β€’ Ada, MI

Active NPI 1932752235 Individual Practitioner Female Practitioner
Practice location in NPPES

4690 Fulton St E Ste 102
Ada, MI 493018454

Call 6164257701 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4690 Fulton St E Ste 102

Ada, MI 493018454

Telephone 6164257701

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ada and Michigan

10 active clinicians are listed under Psychologist with a practice address in Ada, MI (2,549 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-15
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MI 6361002652

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
4394404 (MI)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2025

Psychologist (license number reported to NPPES: MI 6361002652)

πŸ“
Updated Practice Location July 22, 2025

Registered at 4690 FULTON ST E STE 102, ADA, MI 493018454 (Tel: 6164257701)

πŸ“
Updated Business Mailing Address July 22, 2025

Registered at 4060 SPRINGER WAY APT 1824, EAST LANSING, MI 488238340 (Tel: 8104411873)

πŸ‘€
Provider Name / Credentials Updated March 02, 2020

Recorded as BONNY RYE, LLP

βœ…
NPI Profile Active July 17, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 17, 2019

Registered at 4611 CAMPUS RIDGE DR, MIDLAND, MI 486409533 (Tel: 9898393500)

πŸ“
Business Mailing Address (Initial Record) July 17, 2019

Registered at 4000 WELLNESS DR, MIDLAND, MI 486702000

πŸ‘€
Provider Name / Credentials (Initial Record) July 17, 2019

Recorded as BONNIE RYE, LLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2019

Psychologist (license number reported to NPPES: MI 6301017777)

🟒
Initial NPI Registration & Enumeration July 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932752235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2019
Last Update: September 15, 2025
Sole Proprietor: No

Mailing Address

4060 Springer Way Apt 1824

East Lansing, MI 488238340

Phone: 8104411873

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.