DR. MYRA BETH BUNDY


Address: 521 Lancaster Ave, Eku, Department of Psychology, Richmond, KY 40475-3100
Phone: 8596221105

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 521 LANCASTER AVE
EKU, DEPARTMENT OF PSYCHOLOGY
City RICHMOND
State KY
Zip Code 40475-3100

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

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

Competitor

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City RICHMOND
Zip Code 40475

Improve Information

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Dataset Information

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.

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