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DR. JOHN BUNDY PH.D. NPI 1669537486


NPI Information

NPI: 1669537486
Provider Name: DR. JOHN BUNDY, PH.D.
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
286 E 18TH AVE
EUGENE, OR
ZIP 97401
Phone: (541) 510-8464
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DR. John Bundy, PH.D. is an addiction (substance use disorder) psychologist in Eugene, OR with 33 years of experience. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. John Bundy, PH.D. NPI is 1669537486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

286 E 18TH AVE
EUGENE, OR
ZIP 97401-159
Phone: (541) 510-8464

The NPI 1669537486 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes (HCPCS:90837)

The enumeration date for this NPI number is 12/22/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)1098OREGONYes
2103TA0700XPsychologistAdult Development & Aging1098OREGONX
3103TB0200XPsychologistCognitive & Behavioral1098OREGONX
4103TC0700XPsychologistClinical1098OREGONX
5103TC2200XPsychologistClinical Child & Adolescent1098OREGONX
6103TF0000XPsychologistFamily1098OREGONX
7103TH0100XPsychologistHealth Service1098OREGONX
8103TP2701XPsychologistGroup Psychotherapy1098OREGONX
9103TR0400XPsychologistRehabilitation1098OREGONX
10103T00000XPsychologist1098OREGONX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000TCMBSMEDICARE ID-TYPE UNSPECIFIEDOREGON
2R01193MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.