Bonny Thacker, PSY.D.
NPI 1093051633 · Clinical Psychologist · Owensville, MO
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonny Thacker, PSY.D. is a Clinical Psychologist provider in Owensville, MO (NPI 1093051633).
Provider details
- NPI number
- 1093051633
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2013006401 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1700 W Main StSedalia, MO 65301-3635Phone: (888) 403-1071
Registry dates
- Enumerated
- 2013-01-01
- Last updated
- 2025-02-07
- Certified
- 2025-02-07
Frequently asked questions
- What is Bonny Thacker's NPI number?
- Bonny Thacker's National Provider Identifier (NPI) is 1093051633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonny Thacker's specialty?
- Bonny Thacker is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Bonny Thacker located?
- Bonny Thacker's practice location on file with NPPES is 704 E Highway 28, Owensville, MO 65066-1588.
- What is Bonny Thacker's phone number?
- The practice phone number listed in the NPPES registry for Bonny Thacker is (573) 437-2959.
- Does Bonny Thacker accept Medicare?
- Bonny Thacker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bonny Thacker's NPI active?
- Yes — Bonny Thacker's NPI (1093051633) is active in the NPPES registry as of the last update on 2025-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.