Individual provider Active NPI

Jessica Renee Bunce, PSY.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1093063315
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7286 Issued in OH
Practice address
7809 Laurel Ave Ste 2
Cincinnati, OH 45243-2673
Phone
(513) 800-3672
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7286 OH Primary

Addresses

Primary practice location

7809 Laurel Ave Ste 2
Cincinnati, OH 45243-2673

Mailing address

7809 Laurel Ave Ste 2
Cincinnati, OH 45243-2673
Phone (513) 800-3672

Other names 1

  • Jessica Renee Woods Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7286OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Brian D. Riker, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1093063315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 LAUREL AVE STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432673",
            "telephone_number": "513-800-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 LAUREL AVE STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432673",
            "telephone_number": "513-800-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCE",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WOODS",
            "middle_name": "RENEE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.