DR. BONNIE LOUISE MERRITT PSY.D.
NPI 1528101219
Psychologist - Clinical in Oakland, CA

Active since February 14, 2007PECOS Enrolled
1501 FRUITVALE AVE, OAKLAND, CA 94601(510) 535-6200(510) 535-4167 Get Directions Write a Review

NPPES record last updated: August 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bonnie Louise Merritt Psy.d. NPPES

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

DR. BONNIE LOUISE MERRITT PSY.D. (NPI 1528101219) is an individual clinical provider in Oakland, California, licensed in California (PSY21859) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528101219
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BONNIE LOUISE MERRITTCredential: PSY.D.
Location Address1501 FRUITVALE AVEOakland, CA 94601-2322
Mailing Address1501 Fruitvale AveOakland, CA 94601-2322 · (510) 535-6200 · Fax (510) 535-4167
Fax(510) 535-4167
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 18, 2010
✔ NPI 1528101219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY21859
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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
1501 FRUITVALE AVE, Oakland, CA 94601

Other Identifiers 3

OtherZZZ29799ZCA · Fqhc Medicare Part B
Other5519CA · Behavioral Health Care Se
Other05-1063CA · Fqhc Medicare Part A

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bonnie Louise Merritt Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bonnie Merritt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1501 FRUITVALE AVE
Oakland, CA 94601
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

Counselor
1501 FRUITVALE AVE
OAKLAND, CA 94601
Case Manager/Care Coordinator
1501 FRUITVALE AVE
OAKLAND, CA 94601
Psychiatry & Neurology (Psychiatry)
1501 FRUITVALE AVE
OAKLAND, CA 94601
Marriage & Family Therapist
1501 FRUITVALE AVE
OAKLAND, CA 94601
Marriage & Family Therapist
1501 FRUITVALE AVE
OAKLAND, CA 94601
Marriage & Family Therapist
1501 FRUITVALE AVE
OAKLAND, CA 94601
Marriage & Family Therapist
1501 FRUITVALE AVE
OAKLAND, CA 94601
Social Worker
1501 FRUITVALE AVE
OAKLAND, CA 94601

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 Merritt's NPI number?

The NPI number for Bonnie Merritt is 1528101219. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Bonnie Merritt located?

Bonnie Merritt practices at 1501 Fruitvale Ave, Oakland, CA 94601. The listed phone number is (510) 535-6200.

What is Bonnie Merritt's specialty?

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

Is Bonnie Merritt enrolled in Medicare?

Yes. Bonnie Merritt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bonnie Merritt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Merritt reassigns Medicare benefits to La Clinica De La Raza, Inc. (Oakland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bonnie Merritt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bonnie Merritt was last updated on August 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.