Active NPI
Wendy Bunn, PSY.D
- Psychologist
- Glendale, AZ
National Provider Identifier
1588057327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4211
- Practice address
- 7263 W Tina LN
Glendale, AZ 85310-5275 - Phone
- (602) 334-3448
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4211 | AZ | Primary |
Addresses
Primary practice location
7263 W Tina LN
Glendale, AZ 85310-5275
Mailing address
7263 W Tina LN
Glendale, AZ 85310-5275
Phone (623) 632-3563
Other practice location 1
3450 N 3rd St
Phoenix, AZ 85012-2331
Phone (602) 257-9339
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Behavioral Health Services, Inc. | Past | Accepting new patients | |
| Southwest Behavioral Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1023023603
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1407165392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1588057327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7263 W TINA LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853105275",
"telephone_number": "623-632-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7263 W TINA LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853105275",
"telephone_number": "602-334-3448"
}
],
"practiceLocations": [
{
"address_1": "3450 N 3rd St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850122331",
"country_code": "US",
"telephone_number": "602-257-9339",
"fax_number": "602-265-8533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNN",
"first_name": "WENDY",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.