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DR. IAN BONNER
NPI 1245661511
Psychologist - Clinical in Chicago, IL

Active since December 11, 2013Opted out of Medicare · through Dec 1, 2026
5315 N CLARK ST # 215, CHICAGO, IL 60640(908) 229-3578 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ian Bonner NPPES

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

DR. IAN BONNER (NPI 1245661511) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.008712) and active in the NPI registry since December 2013. He has opted out of Medicare through December 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245661511
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. IAN BONNER
Location Address5315 N CLARK ST # 215Chicago, IL 60640-2290
Mailing Address5315 N Clark St # 215Chicago, IL 60640-2290 · (908) 229-3578
Phone(908) 229-3578
Sole ProprietorYes
Enumeration DateDecember 11, 2013
Last NPPES UpdateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
✔ NPI 1245661511 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 IL · 071.008712
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.
5315 N CLARK ST # 215, Chicago, IL 60640
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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. Ian Bonner 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 December 1, 2016 through December 1, 2026.

Opt-Out Effective DateDecember 1, 2016
Opt-Out In Effect ThroughDecember 1, 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 60640 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

FREELIFE BEHAVIORAL HEALTH LLC
Psychologist (Clinical)
5315 N CLARK ST # 215
CHICAGO, IL 60640
Cook County (908) 229-3578

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 Ian Bonner's NPI number?

The NPI number for Ian Bonner is 1245661511. It was assigned to this individual provider in the NPPES registry on December 11, 2013.

Where is Ian Bonner located?

Ian Bonner practices at 5315 N Clark St # 215, Chicago, IL 60640. The listed phone number is (908) 229-3578.

What is Ian Bonner's specialty?

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

Is Ian Bonner enrolled in Medicare?

No. Ian Bonner has opted out of Medicare through December 1, 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 Ian Bonner was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.