Individual provider Active NPI

Andrew R. Bunce, PHD

  • Clinical Psychologist
  • Pembroke Pines, FL
National Provider Identifier
1285076935
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5458 Issued in FL
Practice address
1601 N Palm Ave Ste 210
Pembroke Pines, FL 33026-3241
Phone
(786) 457-9431
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 PY5458 FL Primary

Addresses

Primary practice location

1601 N Palm Ave Ste 210
Pembroke Pines, FL 33026-3241

Mailing address

1601 N Palm Ave Ste 210
Pembroke Pines, FL 33026-3241
Phone (786) 457-9431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130819000172 FL Practitioner - Clinical Psychologist 5597907766 Reassigns benefits to 1 organization
Practice locations: Pembroke Pines, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew R Bunce PAGroup PAC ID 9133526189, 2 clinicians

Practice addresses (Care Compare)

1601 N Palm Ave
Suite 210
Pembroke Pines, FL 33026-3241
Phone (786) 457-9431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew R Bunce PA Clinical CurrentSince Jul 30, 2021 Accepting new patients
Psychological Consulting, Inc. Past Accepting new patients
Pedro a. Rodriguez M.D., P.a. Past Accepting new patients

Locations

1601 N Palm Ave
Ste 106
Pembroke Pines, FL 33026
Phone (954) 854-3053

1601 N Palm Ave
Ste 210
Pembroke Pines, FL 33026
Phone (786) 457-9431

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1285076935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 210",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263241",
            "telephone_number": "786-457-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 210",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263241",
            "telephone_number": "786-457-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCE",
        "first_name": "ANDREW",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.