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MS. THERESA LYNN BUNDY-PHAM
NPI 1679801179
Social Worker in Grand Rapids, MI

Active since November 23, 2009PECOS EnrolledAccepts Medicare Assignment
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546(616) 957-9112(616) 957-2409 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Theresa Lynn Bundy-pham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. THERESA LYNN BUNDY-PHAM (NPI 1679801179) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801068956) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1679801179
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. THERESA LYNN BUNDY-PHAM
Location Address1000 PARCHMENT DR SEGrand Rapids, MI 49546
Mailing Address1000 Parchment Dr SeGrand Rapids, MI 49546 · (616) 957-9112 · Fax (616) 957-2409
Phone(616) 957-9112
Fax(616) 957-2409
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 23, 2009
Last NPPES UpdateJuly 24, 2024
✔ NPI 1679801179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801068956
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1000 PARCHMENT DR SE, Grand Rapids, MI 49546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Theresa Lynn Bundy-pham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456481928
PECOS Enrollment IDI20100609000582
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS PC
Social Worker (Clinical)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-9112
STEPHANIE N THORNTON LMSW
Social Worker (Clinical)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-9112
DANIEL J DE WITT PSY.D.
Psychologist (Clinical)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-9112
JANICE M TALEN LMFT
Marriage & Family Therapist
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-9112
PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS PC
Psychiatry & Neurology (Psychiatry)
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-9112
GRETA J HOEKSTRA LMSW
Social Worker
1000 PARCHMENT DR SE, PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC
GRAND RAPIDS, MI 49546
Kent County (616) 957-9112
PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS PC
Psychologist
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-9112
BETSY JOY PAROLINI MSW,CSW
Social Worker (Clinical)
1000 PARCHMENT DR SE, PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS, PC
GRAND RAPIDS, MI 49546
Kent County (616) 957-9112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Bundy-pham's NPI number?

The NPI number for Theresa Bundy-pham is 1679801179. It was assigned to this individual provider in the NPPES registry on November 23, 2009.

Where is Theresa Bundy-pham located?

Theresa Bundy-pham practices at 1000 Parchment Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 957-9112.

What is Theresa Bundy-pham's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Theresa Bundy-pham enrolled in Medicare?

Yes. Theresa Bundy-pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Bundy-pham accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Theresa Bundy-pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Bundy-pham was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.