Active NPI
Joseph Henry Bunch, MA
- Health Service Psychologist
- Edenton, NC
National Provider Identifier
1104081140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 1539
- Practice address
- 213 S Oakum St
Edenton, NC 27932-2048 - Phone
- (252) 333-5583
- NPI assigned
- Jul 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 1539 | NC | Primary |
Addresses
Primary practice location
213 S Oakum St
Edenton, NC 27932-2048
Mailing address
213 S Oakum St
Edenton, NC 27932-2048
Phone (252) 333-5583
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1539 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1104081140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S OAKUM ST",
"city": "EDENTON",
"state": "NC",
"postal_code": "279322048",
"telephone_number": "252-333-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 S OAKUM ST",
"city": "EDENTON",
"state": "NC",
"postal_code": "279322048",
"telephone_number": "252-333-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "JOSEPH",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "1539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.