DR. MYRA BETH BUNDY (NPI# 1972713220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972713220 |
Entity Type | Individual |
Full Name | DR. MYRA BETH BUNDY |
Credential | PH.D. |
Practice Address |
521 Lancaster Ave Eku, Department of Psychology Richmond KY 40475-3100 |
Practice Telephone | 8596221105 |
Practice Fax Number | 8596225817 |
Mailing Telephone | 8596221105 |
Mailing Fax Number | 8596225817 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
KY-1021 | KY | Behavioral Health & Social Service Providers |
Street Address |
521 LANCASTER AVE EKU, DEPARTMENT OF PSYCHOLOGY |
City | RICHMOND |
State | KY |
Zip Code | 40475-3100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013901016 | Eric J. Fuchs | Specialist/Technologist | 521 Lancaster Ave, Dept.. Exercise & Sport Science Moberly 109, Richmond, KY 40475-3100 | 2005-09-06 |
1235697731 | Lucas Miller | Student in an Organized Health Care Education/Training Program | 521 Lancaster Ave, Richmond, KY 40475-3102 | 2019-03-04 |
1043774698 | Selahaddin Hassen Adam | Specialist/Technologist | 521 Lancaster Ave, Richmond, KY 40475-3100 | 2019-01-29 |
1952865503 | Hannah Engalnd | Specialist/Technologist | 521 Lancaster Ave, Richmond, KY 40475-3100 | 2019-01-29 |
1063976611 | Caleb Ryan Wright | Specialist/Technologist | 521 Lancaster Ave, Richmond, KY 40475-3100 | 2019-01-29 |
1699239244 | Austin Thomas Lindsey | Specialist/Technologist | 521 Lancaster Ave, Richmond, KY 40475-3100 | 2019-01-29 |
1508320151 | Christopher Francisco Padilla | Student in an Organized Health Care Education/Training Program | 521 Lancaster Ave, Richmond, KY 40475-3102 | 2019-01-29 |
1417411067 | Jordan Marcum | Specialist/Technologist | 521 Lancaster Ave, Richmond, KY 40475-3100 | 2019-01-29 |
1235693888 | Jason Tyler Craigmyle | Specialist/Technologist | 521 Lancaster Ave, Richmond, KY 40475-3100 | 2019-01-29 |
1053875609 | Anthony Wilkerson | Specialist/Technologist | 521 Lancaster Ave, Richmond, KY 40475-3100 | 2019-01-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
Find all providers in zip 40475 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346572351 | Jill Allison Ferrante Gasper | Psychologist | 508 Libbie Ave, Suite 100, Richmond, VA 23226-2618 | 2010-02-02 |
1679514533 | Linda Ronald | Psychologist | 238 S 5th St, Richmond, IN 47374-5412 | 2006-06-09 |
1629595731 | Anna Wright | Psychologist | 200 N 22nd St, Richmond, VA 23223-7020 | 2017-08-29 |
1134509391 | Julia Revillion Cox | Psychologist | 200 N 22nd St, Richmond, VA 23223-7020 | 2015-06-03 |
1669807087 | Adriana Rodriguez | Psychologist | 200 N 22nd St, Richmond, VA 23223-7020 | 2013-09-04 |
1578828026 | Emily Wheat Butt | Psychologist | 200 N 22nd St, Richmond, VA 23223-7020 | 2012-07-11 |
1518222629 | Nikola Zaharakis | Psychologist | 200 N 22nd St, Richmond, VA 23223-7020 | 2012-07-05 |
1225326176 | Allison Burnett Ventura | Psychologist | 1250 E Marshall Street, Psychiatry, Richmond, VA 23298-0510 | 2011-07-13 |
1780971952 | Kimberly Parker Nicolas | Psychologist | 1503 Santa Rosa Rd, Suite 105, Richmond, VA 23229-5105 | 2011-07-07 |
1841450053 | Jaee Bodas | Psychologist | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2008-06-11 |
Find all providers in RICHMOND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.