Theresa Bundy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701008882

Practice address

7113 Three Chopt Rd
Richmond, VA 23226-3643

Phone

(804) 562-9997

Fax

(804) 562-9742

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theresabundy@tdh.allscriptsdirect.net

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.

• Easterseals Morc Health Care, Inc.

  • Psychiatry Physician
  • Auburn Hills, MI
  • NPI 1376526616

  Community/Behavioral Health

  Medicare reassignment NPD
• Ur Stori: Building Resilience Ur Way

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1942064357

  Counseling

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD
• Family Insight Therapeutic Services LTD

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1750884813
  NPD (past)

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1548890262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 CENTRAL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252062",
            "telephone_number": "804-363-6606",
            "fax_number": "866-273-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 THREE CHOPT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263643",
            "telephone_number": "804-562-9997",
            "fax_number": "804-562-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0701008882",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "0701008882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Bumpas
• Casey Christopher Bunce, DPT
• Robert Martin Buncher, PH.D.
• Elizabeth Whyte Bundt, N.P.
• Graham M Bundy, M.D.
• Walter Edward Bundy III, M.D.
• Maeve C Buni
• Susan J Buniva, MSW, LCSW
• Mary Buntin, LCSW
• James Blair Bunting Jr., MD

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.