Pamela J Bult, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.013621 Issued in IL

Practice address

120 E Ogden Ave Ste 220
Hinsdale, IL 60521-3546

Phone

(630) 325-5300

Fax

(630) 325-5309

NPI assigned

May 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heritage Professional Associates LTDGroup PAC ID 6002707262, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heritage Professional Associates LTD

  • Psychologist
  • Hinsdale, IL
  • NPI 1033244173
  Medicare reassignment Care Compare group NPD
• Renew Mental Health, PLLC

  • Clinical Social Worker
  • Westmont, IL
  • NPI 1164361390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1760742407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE STE 220",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213546",
            "telephone_number": "630-325-5300",
            "fax_number": "630-325-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE STE 220",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213546",
            "telephone_number": "630-325-5300",
            "fax_number": "630-325-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULT",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2012-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.013621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula K Brown, MS LCPC CADC
• Kanesha L Bryant, MD
• Buikema Wellness PLLC
• John Joseph Bulger II, MD
• Richard F Bulger, M.D.
• Kathleen Burcal, PTA
• Laureen Yeoh Burda, PHD
• Bruna Burgener, D.D.S.
• Kelly A Burgess, PA-C
• Jody L Burke-Kaiser, APN, CNM

• Social Worker in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.