Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Theresa Lynn Bundy-Pham

Individual provider Social Worker · NPI 1679801179

MS. Theresa Lynn Bundy-Pham is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 1995, 31 years ago. Practices with Psychology Associates of Grand Rapids PC, an 18-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Licensed in
MI
In the registry since
2009
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Practice location Address checks out

1000 Parchment Dr SE
Grand Rapids, MI 49546
Phone: (616) 957-9112
Fax: (616) 957-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801068956 (MI)

Record details

NPI number1679801179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 23, 2009
Last updated in NPPESJuly 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Psychology Associates Of Grand Rapids Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids