MR. CLARENCE LEONARD BONANDER JR.
NPI 1881149433
Psychologist - Clinical in Cambridge, MN

Q: What is Clarence Bonander's NPI number?

The NPI number for Clarence Bonander is 1881149433. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Q: What is Clarence Bonander's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clarence Bonander was last updated on April 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 23, 2016PECOS Enrolled

817 MAIN ST N, CAMBRIDGE, MN 55008(763) 325-0300(763) 325-0301 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 9, 2019, Jan 14, 2019, Aug 23, 2016 (3 updates tracked since 2016).

On this page

About Mr. Clarence Leonard Bonander Jr. NPPES

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

MR. CLARENCE LEONARD BONANDER JR. (NPI 1881149433) is an individual clinical provider in Cambridge, Minnesota, licensed in Minnesota (GL0087) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881149433

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. CLARENCE LEONARD BONANDER JR.

Location Address817 MAIN ST NCambridge, MN 55008-1275

Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786 · (651) 379-1704 · Fax (651) 628-0411

Phone(763) 325-0300

Fax(763) 325-0301

Sole ProprietorNo

Enumeration DateAugust 23, 2016

Last NPPES UpdateApril 9, 20193 updates tracked since enumeration

✔ NPI 1881149433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · GL0087

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X

817 MAIN ST N, Cambridge, MN 55008

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clarence Leonard Bonander Jr. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55008 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 18

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

JULI RAE CHAPEAU MA

Counselor (Mental Health)