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DR. BONNIE FRALIX CLEAVELAND PHD DBPP
NPI 1164411948
Psychologist - Clinical in Charleston, SC

Active since October 14, 2005Opted out of Medicare · through Oct 4, 2026
1173 SOUTHGATE DR, SUITE A, CHARLESTON, SC 29407(843) 571-4005(877) 668-6051 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bonnie Fralix Cleaveland Phd Dbpp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BONNIE FRALIX CLEAVELAND PHD DBPP (NPI 1164411948) is an individual clinical provider in Charleston, South Carolina, licensed in South Carolina (666) and active in the NPI registry since October 2005. She has opted out of Medicare through October 4, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164411948
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BONNIE FRALIX CLEAVELANDCredential: PHD DBPP
Location Address1173 SOUTHGATE DR, SUITE ACharleston, SC 29407-4209
Mailing AddressPo Box 31088Charleston, SC 29417-1088 · (843) 571-4005 · Fax (877) 668-6051
Phone(843) 571-4005
Fax(877) 668-6051
Sole ProprietorYes
Enumeration DateOctober 14, 2005
Last NPPES UpdateDecember 2, 2008
✔ NPI 1164411948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in SC · 666
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1173 SOUTHGATE DR, Charleston, SC 29407
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Other Names 1

Former Name (1)Dr. Bonnie Louise Cleaveland Phd

Other Identifiers 3

Other680011358SC · Railroad Medicare
Medicare ID-Type UnspecifiedQ314630281SC
Other2050504SC · Cigna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bonnie Fralix Cleaveland Phd Dbpp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 4, 2018 through October 4, 2026.

Opt-Out Effective DateOctober 4, 2018
Opt-Out In Effect ThroughOctober 4, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROSE MARIE CUMMINGS MA, LPC
Counselor (Professional)
1173 SOUTHGATE DR
CHARLESTON, SC 29407
Charleston County (843) 509-6186

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonnie Cleaveland's NPI number?

The NPI number for Bonnie Cleaveland is 1164411948. It was assigned to this individual provider in the NPPES registry on October 14, 2005. The provider is also known as Dr. Bonnie Louise Cleaveland Phd.

Where is Bonnie Cleaveland located?

Bonnie Cleaveland practices at 1173 Southgate Dr Suite A, Charleston, SC 29407. The listed phone number is (843) 571-4005.

What is Bonnie Cleaveland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Bonnie Cleaveland enrolled in Medicare?

No. Bonnie Cleaveland has opted out of Medicare through October 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bonnie Cleaveland was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.