Active NPI
Tanisha Sonjia Bundy, MSW
- Social Worker
- New Haven, CT
National Provider Identifier
1659658649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 191 Whalley Ave Apt 158
New Haven, CT 06511-3220 - Phone
- (203) 214-6409
- NPI assigned
- Nov 4, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CT | Primary |
Addresses
Primary practice location
191 Whalley Ave Apt 158
New Haven, CT 06511-3220
Mailing address
191 Whalley Ave Apt 158 New Haven
New Haven, CT 06511
Phone (203) 214-6409
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1659658649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 WHALLEY AVE APT 158 NEW HAVEN",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-214-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 WHALLEY AVE APT 158",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113220",
"telephone_number": "203-214-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNDY",
"first_name": "TANISHA",
"middle_name": "SONJIA",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.